Ld 0274 Form - You must file this claim within one year or less from the date of your injury. The document you are trying to load requires adobe reader 8 or higher. Claim against department of transportation for amounts $10,000 or less. (aka “claim against department of transportation for amounts $10,000 or less (pdf).”). This form is to be used when filing a claim against the department of transportation as provided in government code section 935 7 please: For information on how to install adobe reader and configure your. Sign and date claim form. Web direct any inquiries on information maintenance to your ipa officer. Print or use a typewriter when filling out form. You may not have the adobe reader installed or your viewing environment may not be properly configured to use adobe reader.
Claim against department of transportation for amounts $10,000 or less. The document you are trying to load requires adobe reader 8 or higher. This form is to be used when filing a claim against the department of transportation as provided in government code section 935 7 please: You must file this claim within one year or less from the date of your injury. Web use this form to file a claim of $10,000 or less against the california department of transportation for death or personal injury, or for injury to personal property or growing crops. Web direct any inquiries on information maintenance to your ipa officer. You may not have the adobe reader installed or your viewing environment may not be properly configured to use adobe reader. Print or use a typewriter when filling out form. (government code sections 911.2, 935.7) warning: For information on how to install adobe reader and configure your. (aka “claim against department of transportation for amounts $10,000 or less (pdf).”). Sign and date claim form.