Chapter 1 - FORM 1-25 : NOTICE OF POTENTIAL CLAIM TO PRIMARY INSURER

• Jurisdiction: Colorado

Form 1-25: Notice of Potential Claim to Primary Insurer

[date]

Via Certified Mail
Return Receipt Requested

[name]
[address]

Re: Notice of Potential Claim
Named Entity: __________
Policy No.: __________
Policy Period: __________

Dear Sir or Madam:

The undersigned is outside counsel for [name of insured]. The purpose of this letter is to notify [name of insurance company] of a potential claim, as that term is defined in the above-referenced policy, in accordance with the terms and conditions of the policy, namely [applicable section of insurance policy or a general statement of the type of coverage being invoked, such as business loss or business income coverage, errors and omission coverage, general liability coverage]. ...