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The document is a claim form (LD-0274) issued by the California Department of Transportation for individuals seeking to file claims of $10,000 or less for personal injury, property damage, or crop damage. It outlines the necessary personal information required, details about the incident, and instructions for completing and submitting the form. The document also emphasizes the importance of providing accurate information to avoid delays in processing and includes legal notices regarding privacy and liability.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (20 Votes)
2010	4.9 Satisfied (366 Votes)
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2003	3.9 Satisfied (26 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you file a claim for a flat tire?

Does insurance cover flat tires? In short, no. For example, if you get a flat tire because you run over a sharp object or drive on worn tires, your auto policy wont cover repairs. Additional options like roadside assistance can provide help if you experience unexpected tire-related issues on the road.

How much does California reimburse for pothole damage?

The state of California might reimburse you up to $10,000 in vehicle damages caused by potholes if you file within six months of the incident and successfully prove that CalTrans or its contractor knew or should have known about the pothole at the time of damage.

Can you sue the city for pothole damage in California?

If youve been injured or suffered financial losses due to a pothole accident in California, you may have a case against the city, county, or state agency responsible for the road. However, strict legal deadlines apply, and filing a claim quickly is critical.

Can I get reimbursed for pothole damage in California?

California Department of Transportation (Caltrans) If you drove over a pothole on the freeway, highway or other state roadway, contact Caltrans at dot.ca.gov. Theres a Submit Damage Claim link on the far right column with more information.

What does the Department of Transportation cover?

The Department of Transportation (DOT) is responsible for planning and coordinating federal transportation projects. It also sets safety regulations for all major modes of transportation.