Mileage Reimbursement Claim Process

Summary

To draft a demand letter for mileage reimbursement under Arizona workers compensation laws, address it to the supervisor at Travelers Insurance, referencing the adjuster. State your claim details, including dates and amounts, and reference Arizona Revised Statutes § 23-1062.01 for travel expense reimbursement. Mention previous attempts to submit forms and lack of response. Include your new address and contact information. For further customization, consult a legal professional familiar with Arizona workers compensation laws.

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can you draft it
Certainly! Here's a draft for your demand letter:
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[Your Name]
[Your New Address]
[City, State, Zip Code]
[Date]
Crystal Hibbert
Travelers Insurance
[Insurance Company's Address]
[City, State, Zip Code]
Dear Ms. Hibbert,
I am writing to formally request reimbursement for mileage expenses related to my workers' compensation claim. Despite submitting the mileage reimbursement forms on three occasions, I have not received any reimbursement.
Claim Details:
- Adjuster: Omar Ramirez
- Mileage Reimbursement Dates: [List dates if available]
- Total Amount: [Include amount if available]
I am seeking reimbursement under the Arizona Revised Statutes (A.R.S.) § *-*.*, which provides for reimbursement of travel expenses for necessary medical treatment under workers' compensation. I have informed Mr. Ramirez of my new address as I am currently staying with family due to my inability to care for myself and my pets following my injury.
Please address this matter at your earliest convenience. Should there be no response, I will file a formal complaint with the Arizona Industrial Commission.
Thank you for your prompt attention to this matter.
Sincerely,
[Your Name]
[Your Contact Information]
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Make sure to replace placeholders with your specific details before sending the letter. For further customization, consulting a legal professional might be beneficial.
Lora Edwards * W. Cedar Dr Chandler az * June *, *
It looks like you've got a detailed draft for your demand letter ready. Make sure you've filled in any placeholders with the specific dates and amounts for your mileage claims. If you need any more assistance or have further questions about the process, feel free to ask!