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GSD > Office of Risk Management > Menu

Vehicle Liability Claim Documents

State Employee Use
State of Ohio Employee Loss Notification
Automobile Accident  or Incident Report
Ohio Bureau of Motor Vehicles Crash Report Form 3303
Verification of Authorized Use Form
 

To report an auto accident or incident involving a state vehicle FAX the Employee Loss Notification form to 614-466-0427. The BMV Crash Report is NO LONGER a required form by Risk Management unless the other party DOES NOT have insurance and is at fault. Mail the original BMV Crash Report (Form 3303) to Risk Management within 30 days. Call 614-466-6761 for claims assistance.

 
Claimant & Public Use
 
Description of Vehicle Accident Claim Form
Description of Property Damage Claim Form
Employment Statement Form
Medical Information Authorization
Medical Report Request
Release Form - Full and Final
Release Form - Property Damage
Subrogation Installment and Settlement Form
Witness Report

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