Personal Injury Forms and Letter for Lawyers

Below are sample personal injury forms, documents, and letters. Lawyers often have to reinvent the wheel. The hope is that access to this library will help you reinvent the wheel less often.

Demand Letters

• Get 4 Sample Demand Letters in Different Tort Claims

Client Forms

• Attorney Retainer Agreement – lawyer-client agreement for representation in a personal injury case (our retainer)
• HIPAA Authorization – template authorization to obtain medical records consistent with HIPAA
  • Letter requesting patient’s medical records
• Lost Wage Form – example of form for client and his/her supervisor to help the client receive lost wages from PIP carrier and the at-fault driver
• AISG Form – to get prior (and subsequent) claims history for your client so you are armed with the same information as the insurance companies regarding prior claims/accident your client has had
• Sample Intake – example of intake form our lawyers crafted for taking initial intake calls from clients in personal injury cases
• A Library of Letters in Personal Injury Cases – a NEW section to our website that puts together all form letters that personal injury lawyer write so the wheel does not need to be reinvented.

Sample Settlement Agreements and Other Settlement Documents

• Sample Settlement Agreement – tortfeasor release releasing all parties in a personal injury case after a settlement
• Sample Settlement Agreement #2 – another sample release
• Sample Hold Harmless Letter – example of a hold harmless letter for medical liens
  • Sample lien from doctor
  • Sample lien from health care provider
• Sample Power of Attorney – example of power of attorney to sign and disburse settlement check
• Sample Friendly Suit
  • Sample court order approving friendly suit

Sample Forms for Car Accident Lawyers

• Sample Request for Traffic Light Sequence Report – example letter requesting traffic sequence information from local authorities
  • Sample Traffic Light Sequence Report (sample light sequence report from the State)
• Sample Affidavit of No Insurance – sample affidavit for PIP and uninsured
• Sample Certification – template motion to compel last known address from insurance company of defendant before filing suit
• Request for MVA Records – request to Maryland Motor Vehicle Administration for driving record
• Request for Judicial Notice as to Time, Speed and Distance – how far a car travels at a given speed over time
• How to Obtain Police Reports in Maryland -information on getting police reports under new Maryland law
  • Sample Request for Police Report Form
  • Sample Police Report #1 (head-on accident)
  • Sample Police Report #2 (wrongful death)
  • Maryland Law on Order Police Accident Reports
• Sample Assignment and Authorization (letter of protection form agreement from doctors trying to protect payment of their bills)
• Sample Affidavit of No Insurance

Other Sample Forms

• Sample Letter of Attorney Representation – sample attorney letter to insurance company confirming representation of the client
• New Maryland IOLTA Rule -new rule for Maryland lawyers for handling IOLTA trust accounts
• Sample Bad Faith Let
  ter – for first and third-party bad faith cases to set up insurance company for a future bad faith should your verdict exceed the policy limits
• Sample Insurance Claims File – sample insurance claims file, giving a lens to how and what insurance companies use to evaluate a claim
• Sample Assignment and Authorization (sample medical provider lien/letter of protection)
• Sample Arbitration Agreement
• Ending the Attorney-Client Relationship – a letter the severs the attorney-client relationship because what you thought could be a case but it is not

This section is more recent additions to our website which we have created in response to request from other lawyers for these forms or documents. This is for miscellaneous documents we use regularly but we don’t have a natural category elsewhere. If there is a document you want to see, let us know and our lawyers will try to provide it to you.

If you have a civil injury claim or if you are an attorney looking for co-counsel on a serious injury case, call 800-553-8082 or get a free online consultation.

Related Links

• Victim Help (information for victims of car, truck and motorcycle accidents, medical malpractice, and defective products)
• What Is My Case Worth? (how judges and juries determine value)
• Contact Us (call 800-553-8082)