[INSERT LETTERHEAD]

Date:

Attention:

Subject: DEMAND FOR PAYMENT

Location:

Mr./Ms. _:

On [date], your employee, [employee name], collided the company vehicle he was
driving, a [manufacturer, make and plate number], against my vehicle, a [manufacturer, make
and plate number], causing damage amounting to [amount]. I have repeatedly approached your
company regarding this matter, yet you failed to heed my pleas. The nature of my occupation
requires extensive travel – and, as a consequence, I have been spending at least [amount] daily
since the incident.

Under Article 2176 of the Civil Code of the Philippines, employers are vicariously liable
for the damages caused by their employees acting within the scope their assigned tasks. Please
note that due to your failure to settle this matter without incident, this letter serves as a
DEMAND TO PAY.

Attached herein are the faithful reproductions of the receipts of my expenses. As of

[date], your outstanding obligation is [amount in letters] (amount in numbers.) Be reminded
that this obligation shall continue to toll until you have made complete reparation.

Kindly respond to this letter within five (5) days from receipt to make the necessary
payment arrangements. Should you wish to call me, you may contact me through [number].

Your failure to respond will be construed as lack of interest on your part to settle this
matter extrajudicially. To avoid the costs of legal action, including attorney’s fees and other
damages, I advise you to heed this call in the soonest time possible.

Thank you!

Sincerely yours,

[name]
[designation]