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DTMB-1104 Claim Against the State of Michigan for Personal Losses Less Than $1,000 DTMB Forms

DTMB-1104 Claim Against the State of Michigan for Personal Losses Less Than $1,000 DTMB Forms-2025

DTMB-1104 Claim Against the State of Michigan for Personal Losses Less Than $1,000 DTMB Forms Preview on Page 1

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The document outlines the process for submitting a claim against the State of Michigan for personal losses or injuries amounting to less than $1,000. It includes sections for claimant information, details about the loss, and certification requirements. Claimants must provide supporting documentation and submit the completed form within 365 days of the loss. The average processing time is 2-3 months, and decisions made by the State Administrative Board are final with no appeal process.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, 'Claimant Information.' Enter your name, email address, street address, and telephone number. If you are a state employee, include your work location and department.
Proceed to Section 2, 'Claim Information.' Specify the state agency involved, date and time of loss, location of loss, and the amount you are claiming. Provide a detailed description of your loss and how you determined its value.
Attach any relevant supporting documents such as receipts or reports. Ensure that all necessary information is included in this section.
In Section 3, 'Certification,' sign the form and have it notarized. This step is crucial for validating your claim.
Finally, review all entries for accuracy before submitting the completed form along with attachments to the State Administrative Board.

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Versions	Form popularity	Fillable & printable
2023	4.3 Satisfied (23 Votes)
2013	4.7 Satisfied (57 Votes)

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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 the State of Michigan be sued?

With the Court of Claims Act, MCL 600.6401 et seq., our Legislature created the Court of Claims to resolve major claims against the State of Michigan and its various agencies and personnel.

How far back can you file an insurance claim?

How long after a car accident can you claim injury? StateStatute of Limitations on Car Insurance Claims California 2 years Colorado 3 years Connecticut 2 years Delaware 2 years47 more rows Sep 9, 2025

How long after an accident can you still make a claim?

Section 11 of the Limitation Act 1980 (LA 1980) states the limitation period for a personal injury claim, which include road traffic accident claims, is three years.

How long after an accident can you file a claim in Michigan?

Time limits for car accident injury claims in Michigan Filing for No-Fault benefits must be within 1 year of your crash. Filing for pain and suffering compensation, excess medical benefits and other economics damages must be filed within 3 years of the collision.

What is the statute of limitations on a car accident claim in Michigan?

Michigan Compiled Laws 600.5805 is the Michigan statute of limitations for a car accident lawsuit. It contains information about the states deadline for personal injury claims. According to this portion of the states legal code, you have three years to file a lawsuit after most accidents in Michigan.