California Department of Transportation
 
 

Filing A Claim Damage With Caltrans

 

 

If you believe you have a claim for $5,000.00 or less against Caltrans, District 3 (which includes Butte, Colusa, El Dorado, Glenn, Nevada, Placer, Sacramento, Sierra, Sutter, Yolo and Yuba Counites), you may use the form and instructions available for download below. If your claim is for an amount greater than $5,000.00, please call the Victim Compensation and Government Claims Board at 800-955-0045 or check their web site at
http://www.boc.cahwnet.gov/GovClms.htm

Click on each of the two files below to receive the PDF file. If you do not yet have the Adobe Acrobat Reader (needed to view and print the claim form and instructions), click on the Acrobat icon and those instructions. The reader is available at no charge.

Claim Form , page 1 (PDF 70 Kb)
Claim Form, page 2 (PDF 65 Kb)

Documents, labeled (pdf), will require Adobe Acrobat Reader. Available as a free download from Adobe's web site (one-time setup).


Contact Information

You may send the completed form to:

District Claims Officer
Department of Transportation
P.O. Box 911
Marysville, CA 95901

Or telephone:
(530) 741-4262