Notice of Claim Instructions 2026

1. Click ‘Get Form’ to open the Notice of Claim Instructions in the editor.
2. Begin by filling out the claimant's information, including last name, first name, middle initial, address, telephone number, date of birth, and social security number.
3. If correspondence should be sent to someone other than the claimant, complete section #2 with their name, mailing address, relationship to the claimant, and telephone number.
4. In section #3, provide details about the occurrence or accident including date, time, and exact location.
5. Describe the accident in section #4. Be clear and concise to ensure all relevant details are captured.
6. List all witnesses in section #5 along with their addresses.
7. Identify any state agencies or employees involved in your claim in section #6.
8. In section #7, include names and addresses of any other parties you believe are responsible for your injuries or damages.
9. Briefly describe your injuries and losses in section #8 before stating the amount of your claim in section #9 along with a basis for this calculation.
10. Finally, certify that your statements are true by signing and dating at the bottom of the form.

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