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Notice of Injury and Claim Form - Wisconsin Department of Justice - doj state wi 2026
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- Click ‘Get Form’ to open the Notice of Injury and Claim Form in the editor.
- Begin by entering the Claimant’s Name, Address, and Phone number in the designated fields. Ensure that all information is accurate for effective communication.
- Fill in the Time and Date of Occurrence. This is crucial as it establishes the timeline for your claim.
- Specify the Location where the incident occurred. Be as detailed as possible to avoid any confusion.
- In the Statement of Circumstances section, provide a thorough description of what happened, including names of any involved parties, especially state officers or employees. If you need more space, utilize the backside of the form.
- Review your entries carefully. Once satisfied, sign and date the form at the bottom to certify its accuracy.
- Finally, ensure that you have a notary public witness your signature before submitting it via certified mail to the Attorney General's office within 120 days.
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