California Department of Transportation District 11 ­ San Diego & Imperial Counties

DAMAGE CLAIMS AGAINST THE DEPARTMENT OF TRANSPORTATION, DISTRICT 11

Damage Claim Form

(State Highways/Freeways in San Diego and Imperial Counties)

The Caltrans Claims Program resolves claims filed against the Department of Transportation (Caltrans) for $10,000 or less. Government Code Section 935.7 authorizes Caltrans to adjust and pay claims not exceeding $10,000 without prior presentation and approval of the California Victim Compensation and Government Claims Board. If your claim is more than $10,000, please see the California Victim Compensation and Government Claims Board website at www.vcgcb.ca.gov/claims/default.aspx for information on filing a claim or contact them at the address and/or phone number listed below.

Time limitations for presenting a claim: Most claims must be filed within six months of the date of loss. Claimants are encouraged to consult with an attorney to determine if there are exceptions for their claim (Government Code Section 911.2). Late Claims: When a claim is not presented within the time limitations set by statue, a written application and claim in triplicate may be made to the California Victim Compensation and Government Claims Board for permission to submit a late claim. The application should state the reason for the delay in presenting the claim and be sent Crime Victim and Government Claims Board at the address listed below. The Department of Transportation cannot accept late claims without prior approval of the California Victim Compensation and Government Claims Board.

CLAIMS OVER $10,000 and LATE CLAIMS CONTACT:

California Victim Compensation and Government Claims Board
Government Claims Program
P. O. Box 3035
Sacramento, CA 95812-3035
(800) 955-0045

Website: www.vcgcb.ca.gov/claims/default.aspx

CLAIMS FOR $10,000 OR LESS may be filed on the following form. If you are unable to download the form, you may call the telephone number listed below and request a form be mailed to you. At this time, Caltrans cannot accept completed forms electronically. The completed form and attachments should be mailed or delivered to:

Department of Transportation
District 11 - Legal Division
4050 Taylor Street, MS -130
San Diego, CA 92110
(619) 688-2531

TIPS FOR COMPLETING THE CLAIM FORM

Please read the claim form carefully and answer all questions completely. Claim forms submitted unsigned, undated, over $10,000, or for an unspecified amount will be returned. Signatures must be original. Copies of signatures will be not accepted. The registered owner of the damaged vehicle must complete and sign the claim form. To expedite processing of your claim, please include a copy of any police or CHP report, if available.

Be detailed in your explanation of the incident and make sure all information is clear. The exact location of the incident is important. Include exit signs in area, cross streets, lane number, direction of travel, etc. If there was a construction or a maintenance operation in the area, provide the type of work being performed (if you can determine). Give vehicle numbers, license plate numbers, or identification numbers, identifying marks, logos, etc., if at all possible. If more room is needed for your explanation, attach a second sheet. Explain what caused the damage and why Caltrans is responsible.

Please attach two (2) estimates or a paid receipt, and any other documentation supporting the amount of your claim. Include photographs of the damaged vehicle or property, if possible. Documents sent to the District Claims Office will not be returned. Therefore, be sure to make copies of your documentation before you submit them.

District 11 covers State routes owned, maintained or controlled by the State in San Diego and Imperial Counties. Claims are processed in the order received and confirmation of receipt will be provided.

WARNING: The fact that this brief statement of the initial procedure to be followed in submitting a claim against the State of California has been furnished to you or that an investigation of any claim is undertaken is not to be taken as an admission of liability in any respect on the part of the State or any of its officers or employees. Nor is the fact that this informational statement has been furnished to you to be construed as a waiver of any requirements imposed by law or of any defense which may be available to the State of California in connection with any claim that might be filed against it. You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney, you should do so immediately.

 

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