Claims for Damage Form
To file a Claim for Damages you must fill out the form below as completely as possible. Be sure to include your current address, telephone number and signature in the spaces provided.
In case of vehicle damage, only the registered owner may present a claim for damages and must sign the form.
Mail your signed completed form(s) and any supporting documents to:
OCTA – Risk Management
P.O. Box 14184
Orange, CA 92863-9831
833-711-7475
Claims arising after January 1, 1988 must be filed within 6 months from the date of accident.
If submitting a bodily injury claim, please review and complete the Medicare Reporting Form. Please mail in the completed Medicare Reporting form along with your Claim for Damage.
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