[Date]
VIA CERTIFIED MAIL & EMAIL
[Insurance Company Name]
[Address]
[City], [State] [ZIP]
Re: Appraisal Demand
Insured: [Insured Name]
Policy No.: [Policy Number]
Claim No.: [Claim Number]
Date of Loss: [Date of Loss]
Location: [Address], [City], [State] [ZIP]
Type of Loss: [Type of Loss]
Dear Claims Representative:
This letter constitutes our formal written demand for appraisal pursuant to the appraisal provision in the above-referenced insurance policy. We disagree with [Insurance Company] as to the [actual cash value/replacement cost/amount of loss] resulting from the [type of loss] that occurred on [date of loss] at the insured property located at [address], [city], [state] [zip].
The parties have been unable to reach agreement on the amount of loss despite good faith negotiations.
We direct your attention to the appraisal provision in the policy, which provides for appraisal in the event the parties fail to agree on the amount of loss.
Pursuant to the terms of the policy, we hereby make this written demand for appraisal. We name [Appraiser Name] as our competent and disinterested appraiser:
[Appraiser Name]
[Professional Credentials/License]
[Company Name]
[Address]
Phone: [Phone]
Email: [Email]
Please notify us of the name and contact information for your appraiser within 20 days of receipt of this demand. We request that your appraiser contact our appraiser directly so that the two may promptly begin the appraisal process and, if necessary, select a competent and disinterested umpire. Time is of the essence.
Nothing stated in this letter is intended, nor should it be construed, to be a waiver of any of the terms or conditions of the policy, nor of any rights or defenses available to [Insured]. [Insured] specifically reserves all such rights and defenses, whether now apparent or as may become apparent.
If you have any questions regarding this demand, please contact the undersigned at [Phone] or [Email].
Very truly yours,
[Your Name]
[Address]
[City], [State] [ZIP]
The completed letter is delivered by email. Direct copy and download are not available.