Claimant
- Name
- Sarah Johnson
- sarah@example.com
- Phone
- 555-0101
- Address
- 123 Main Street, Los Angeles, CA 90001
Defendant
- Type
- individual
- Legal name
- John Smith
- Address
- 456 Oak Avenue, Los Angeles, CA 90002
- —
- Phone
- 555-0202
Claim details
Type
Property Damage
Amount
$3,500.00
Incident
Dec 15, 2025
County
Los Angeles, CA
Status
Awaiting Signature
Phase
phase1
Mailing
Certified
Filed
Mar 1, 2026
Claim description
On December 15, 2025, the defendant, John Smith, caused significant damage to my vehicle while it was parked in front of my home at 123 Main Street. The defendant's vehicle rolled down the hill and collided with mine, causing damage to the rear bumper, trunk, and left tail light assembly. I obtained three repair estimates averaging $3,500. The defendant admitted fault at the scene and provided their insurance information, but their insurer has since denied the claim citing a lapse in coverage. Despite multiple requests for payment, the defendant has refused to compensate me for the damages.