CA LD-0274 2017-2024 free printable template

STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATIONCLAIM AGAINST DEPARTMENT OF TRANSPORTATION FOR AMOUNTS $10,000 OR LESS LD0274 (REV 05/2017)PERSONAL INFORMATION NOTICEPursuant to the Federal Privacy

How to fill out ld 0274 2017-2024 form

How to fill out caltrans pothole claim

1. Gather evidence - Take photos of the pothole and any damage caused to your vehicle.
2. Locate the correct form - Visit the Caltrans website and find the 'Pothole Claim' form.
3. Fill out the form - Provide your personal information, details about the incident, and any supporting evidence.
4. Submit the claim - Send the completed form and evidence to the address provided on the form.
5. Follow up - Keep copies of all documents and follow up with Caltrans to ensure your claim is being processed.

Who needs caltrans pothole claim?

1. Anyone who has experienced damage to their vehicle as a result of a pothole on a road maintained by Caltrans needs to file a Caltrans pothole claim.
2. This can include drivers, passengers, or even pedestrians who may have had personal property damaged by a pothole.

• Who Needs Form LD-0274?
• What is Form LD-0274 for?
• Is Form LD-0274 Accompanied by Other Forms?
• • When is Form LD-0274 due?
  • How Do I Fill out Form LD-0274?
  • Where Do I Send Form LD-0274?

Who Needs Form LD-0274?

Form LD-0274 is officially called Claim Against Department of Transportation for Amounts $5,000 or Less. This form is issued by the Department of Transportation in the State of California, otherwise called Cal trans. This department maintains California Highway System. Any person who has suffered damage to the personal property or got an injury caused by the Cal trans can fill out Form LD-0274.  

What is Form LD-0274 for?

The main reason why you want to fill out Form LD-0274 is to get compensation from the injury or property loss that occurred during the traffic incident. The maximum amount of compensation an individual can get with Form LD-0274 is $5,000. If your claim involves $10,000 and more you should direct it to the Government Claims Program.

Is Form LD-0274 Accompanied by Other Forms?

There are no mandatory documents to be attached to the Form LD-0274. However, you can provide any documents that will be helpful in solving your case.

When is Form LD-0274 due?

Generally, all claims have time limitations from six months to one year depending on what kind of claim you’re sending. The claim may be processed within 45 days from the moment you’ve sent it.

How Do I Fill out Form LD-0274?

Form LD-0274 includes three pages. The first page is for the filer and the second page is for state use. The third page contains instructions. You have to enter your identifying information, specify the time of the incident, give explanations how the incident happened and provide your insurance information.

Where Do I Send Form LD-0274?

You can send your claim to appropriate District Claims Office.

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Instructions and Help about caltrans pothole claim form

People Also Ask about ld 0274

How do I file a complaint against Caltrans?

For information or guidance on how to file a complaint, or obtain more information regarding Title VI, please contact the Title VI Branch Manager at (916) 324-8379 or visit the Title VI webpage.

How much does California reimburse for pothole damage?

Caltrans program may reimburse you up to $10,000. Caltrans offers up to $10,000 to drivers whose vehicles have been damaged by potholes on California freeways -- a program of renewed significance amid the roadway hazards caused by the recent series of atmospheric rivers that have drenched the state.

How do I report a pothole on the California highway?

Report highway emergencies to 911 or the California Highway Patrol immediately. To get general information about Caltrans and its services, please contact us at (916) 654-5266.

Can you file a claim against Caltrans?

Anyone who has provided goods and/or services to the California Department of Transportation (Caltrans) and who believes that Caltrans has caused him or her monetary loss can file a claim.

Who regulates Caltrans?

The US Department of Transportation (US DOT) uses its Operating Administrations (OA) to oversee Caltrans. The OA's with authority over Caltrans are the Federal Highway Administration (FHWA), Federal Transit Administration (FTA), and the Federal Aviation Administration (FAA).

For pdfFiller’s FAQs

What is caltrans pothole claim?

Caltrans Pothole Claim is a program that allows California drivers to submit a claim to the California Department of Transportation (Caltrans) for damages caused to their vehicles by potholes in any state highway maintained by the department. The program is designed to provide compensation for California drivers who experience damages due to potholes on highways maintained by Caltrans.

What is the purpose of caltrans pothole claim?

The purpose of the Caltrans Pothole Claim is to provide compensation for damage caused to a vehicle due to a pothole on a state highway. The claim process helps to ensure that the state is held accountable for the maintenance of its highways and that members of the public receive fair compensation for any damage caused by a pothole.

What information must be reported on caltrans pothole claim?

1. Date of incident 2. Location of incident 3. Description of incident 4. Vehicle make, model, and license number 5. Name, address, and contact information of claimant 6. Name, address, and contact information of witnesses (if any) 7. Details of any damage to vehicle 8. Details of any injury to claimant 9. Photographs of incident (if any) 10. Any other relevant information

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