Government Claims Program Information And Claim Form

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Government Claims Program Information and Claim Form
California Victim Compensation and Government Claims Board
P.O. Box 3035
Sacramento, CA 95812-3035
1-800-955-0045 ▪
Note: New statute
Information and Claim Form
requires $25 filing fee!
What kind of claims can be filed? Claims can be filed for losses you believe were caused by the action, or
inaction, of any state agency. Claims may include:
Damage to real or personal property
Refund of a tax, fee, or penalty
Reimbursement for state employee property
Contract disputes
loss, benefits, salary, or travel expenses
Claims for damages caused by a local government agency must be filed directly with the local agency that is
involved. Do not file your claim with the state. If your claim is with an institution in the University of California
(UC) system, contact the UC Regents directly. Call the Government Claims Program at 1-800-955-0045 to find
out more.
Who can file a claim?
Anyone who believes a state agency caused him or her to suffer monetary loss can file a claim.
What are the time limits for filing a claim?
Claims relating to the death or injury of a person, or damage to personal property or growing crops, must be
filed no later than six months after the date of the incident. Other claims must be filed no later than one year
after the date of the incident. You can request permission to file a late claim. Some claims have no filing
deadline. You may want to consult an attorney if you are not sure how the time limits apply to your claim.
Is your claim against the California Department of Transportation (Caltrans)?
If your claim is against Caltrans and the damages are $5,000 or less, you can file your claim directly with
Caltrans. Contact your local Caltrans office or visit to locate a Caltrans office near you. No fee
is required for Caltrans claims under $5,000.
Instructions for filling out this form:
Provide the full name of the person claiming damage or injury.
Provide a daytime telephone number.
Provide an email address. (Optional)
Provide a complete mailing address.
Let us know the best way to contact you if we need to call you.
If the claim is being filed on behalf of a minor (someone under the age of 18), please give the minor’s date of
birth.
You may wish to consult an attorney for assistance with filing a claim, however it is not required. If an
attorney or other person (such as the parent or legal guardian of a minor or conservator of an adult) is
representing you, please complete this section. If this section is completed, all correspondence regarding
this claim will be sent to the representative.

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