Agreement to pay in installments
Editor's note: The following text is taken verbatim from Allstate's "confidential" employee training manual, "Unrepresented Segment Training." An "unrepresented segment" refers to a person who does not have a lawyer but who has been involved in an accident with an Allstate policyholder.
THIS IS A LEGAL DOCUMENT - READ IT CAREFULLY BEFORE YOU SIGN.
AGREEMENT TO PAY IN INSTALLMENTS
Agreement between Allstate and (name) ("you" or "your").
You were involved in an accident with a person insured under an Allstate automobile insurance policy. Allstate, through the policy purchased by its policyholder, will pay for the damages incurred by our policyholder. However, both Allstate and our policyholder have certain rights which enable Allstate and the policyholder to pursue recovery of payments by Allstate from the person ultimately responsible for the damages. Allstate believes that you are responsible for the payment of these damages.
Allstate has paid $____________ (including a deductible of $__________) to repair the insured person's vehicle, and Allstate expects to pay $____________ to compensate the insured person for his or her medical expense, lost wages and pain and suffering.
Allstate and you hereby agree to settle issues relating to recovery of amounts that have been paid or will be paid by Allstate to the insured person, as follows:
1. You hereby unconditionally promise to pay to Allstate, at its address at _____________________________________________, the total sum of $___________ by making monthly payments of $__________, commencing on _____________, 19___, with each payment due by __________________, until the entire amount due is paid in full.
2. If Allstate pays the insured person less than the total sum set forth in Paragraph 1 in settlement of the insured person's claim, your debt shall be reduced accordingly.
3. Allstate may demand immediate payment of the entire outstanding balance if any payment is received by Allstate after the payment due date, or is never received. You agree to pay all cost incurred by Allstate to collect and enforce this Agreement (whether or not suit is brought), including attorneys' fees.
4. You understand and acknowledge that this Agreement is solely between you and Allstate, and does not affect any rights which a policy holder or insured person may have.
By: ______________________________________
Date: ______________________________
Allstate Insurance Company
Allstate Indemnity Company
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British Citizens:
Canadian Citizens:
