Download the Notice of Claim Form - Utah Transit Authority 2026

1. Click ‘Get Form’ to open the Notice of Claim Form in the editor.
2. Begin by filling out your personal information. Enter your last name, first name, address, city, state and zip code, work phone, home phone, cell phone, social security number, date of birth, and fax number.
3. In the Accident Information section, provide details such as the date and time of loss, location of loss, police department (if applicable), and police case number.
4. If applicable, fill in UTA vehicle information including vehicle number, route number, employee’s name and badge number. Specify the direction of travel and whether it was a bus or train.
5. Complete your vehicle information if relevant. Include year, make, model, owner’s name (if different), insurance company details including address and policy number.
6. Detail the nature of your claim and any damages incurred. Be as specific as possible; you may use additional sheets if necessary.
7. Finally, ensure you sign the form where indicated. Unsigned forms will be returned unprocessed.

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