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Oregon tort claim notice form

Oregon form tort claim 2012-2026

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The document is the Oregon Standard Tort Claim Form, which is used for individuals to file claims against state agencies for damages or injuries. It includes sections for claimant information, incident details, bodily injury questionnaires, and witness information. The form must be completed in Acrobat Reader and submitted within 180 days of the incident.

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Click ‘Get Form’ to open the Oregon Standard Tort Claim Form in the editor.
Begin by filling out the Claimant Information section. Enter your name, date of birth, current residential address, and contact details including phone number and email address.
In the Incident Information section, provide details about the incident such as the location, description, and whether a police report was filed. If applicable, include the report number and police agency name.
Complete the State Agency section by naming the agency involved and explaining their responsibility for your damages or injuries.
If there were any bodily injuries, fill out the Bodily Injury Questionnaire thoroughly. This includes personal information and details about medical treatment received.
Finally, review all sections for accuracy before signing and dating your claim at the end of the form.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (62 Votes)
2016	4.3 Satisfied (265 Votes)
2012	4.4 Satisfied (358 Votes)
2011	4 Satisfied (54 Votes)

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