DOT LD-0274: Claim Against California Department of-2025

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  1. Click ‘Get Form’ to open the DOT LD-0274 in the editor.
  2. Begin by filling out your personal information in Section 1. Ensure you provide your full name, mailing address, and contact details. If applicable, indicate if you are under 18 or if this is an amendment to an existing claim.
  3. In Section 2, enter details for your attorney or representative if you have one. This includes their name, business name, and contact information.
  4. Proceed to Section 3 to specify the dollar amount of your claim, ensuring it does not exceed $12,500. Attach supporting documents like repair estimates as required.
  5. Complete Sections 4 through 9 by providing detailed incident information, explanations of how the incident occurred, and any insurance details relevant to your claim.
  6. Finally, sign and date the form in Section 10. If signing electronically, confirm that your electronic signature is legally binding.

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You must file a claim with the State Controllers Office. If your claim is eligible, you will be given the option to file electronically after you have entered the requested information for your claim. If a paper claim is required, the site will provide instructions on how to complete that process.
For incidents involving personal injury, damage to personal property, or wrongful death, you must file your claim within six months from the incident date.
To present a claim for $12,500 or less, for death or personal injury, or for injury to personal property or growing crops, please fill out form DOTLD-0274, Claim Against Department of Transportation for Amounts $12,500 or Less (PDF) to make a claim against Caltrans.
How will I receive payment? You will receive a warrant (a check from the state) in the mail from the State Controllers Office. There is no option for direct deposit for unclaimed property payments.
Unclaimed property is generally defined as any financial asset left inactive by its owner for a period of time, typically three years. California unclaimed property law does not include real estate. The most common types of unclaimed property are: Bank accounts and safe deposit box contents.
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The California Department of Insurance (CDI) was created in 1868 as part of a national system of state-based insurance regulation. The insurance market place has changed dramatically over time, but consumer protection continues to be the core of CDIs mission.

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