Claims for Loss or Damage - USPS 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the agency or institution at the top of the form. This identifies who is filing the claim.
3. Fill in the agency number, place of occurrence, city, and county where the incident took place.
4. If applicable, provide details about the police agency notified and include the police report number.
5. List all serial numbers and state property numbers associated with the lost or damaged items.
6. Indicate who was responsible for the assets by filling in their names and contact information.
7. Provide an estimated value at the date of loss along with purchase date and purchase value for each item.
8. In the description section, detail what happened, including any security measures that were in place at that time.
9. Select one of the boxes to indicate whether negligence was involved in the loss or damage.
10. Finally, ensure that this form is signed and dated by an authorized representative before submission.

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