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Missouri Department of Transportation

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MoDOT is committed to an efficient claims process. We will thoroughly look into all the facts surrounding this incident and expedite the processing.

NOTE: Submission of this form does not guarantee MoDOT's acceptance of liability/responsibility. This information is merely for fact finding and verification purposes.  The Missouri Department of Transportation will not reimburse you for non-factory installed equipment, damaged on the state highway system.

 
Contact Info:
*County: **Where accident occured
*Name of Claimant:
*Address:
*City: State:
*Zip code:
*EMail:
*Phone:

*Fields must be completed to submit claims.

Incident Information:

Date of Incident:
Time of Incident:

Location of Incident:

(mile marker/cross street)

Provide a brief explanation of the incident and property damaged. If vehicle damage, include make/model/year description:

Once all of the above information has been received, and verified you will be given a claim number within 1-2 working days.  All claims will be entered into our system where they will be processed by a Claims Adjuster from our Central Office.

  

 

About Us
How Do I...
Contact Us
Missouri Department of Transportation
Central Office
105 W. Capitol Avenue
Jefferson City, MO 65102
1-888-ASK-MODOT (275-6636)
1-866-831-6277 (Motor Carriers Services)
Driver's License Offices
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Missouri State Government
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