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TC1 Claim Form-revised.doc 2026

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  1. Click ‘Get Form’ to open the TC1 Claim Form in the editor.
  2. Begin by entering your name and address in the designated fields. Ensure that all information is printed legibly or typed for clarity.
  3. If you are filing on behalf of a business or insurance company, provide the necessary details such as employee names and contact information.
  4. Fill in the date and time of the incident, along with its exact location. This information is crucial for processing your claim.
  5. For automobile accidents, complete the vehicle information sections for both your vehicle and the state vehicle involved.
  6. List all witnesses' names, addresses, and phone numbers to support your claim.
  7. Clearly describe how the damage or injury occurred, including any relevant details about state employees involved.
  8. Support your claimed damages by providing repair estimates and any medical reports or receipts related to your claim.
  9. Finally, review all entered information for accuracy before signing the form. Remember that incomplete forms will be returned.

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