The Missouri Department of Transportation (MoDOT) is committed to an efficient claims process. We will thoroughly investigate the facts surrounding this incident and expedite the processing as quickly as possible.
Note: submission of this form does not guarantee MoDOT acceptance of liability or responsibility, and is merely for fact finding and verification purposes.
The use of non-original equipment or aftermarket wheels and/or tires could possibly exclude you from eligibility for compensation from MoDOT. If compensation is paid, only components directly damaged from the incident will be considered.
Some of the above fields are required and indicated by an asterisk. If your claim is successfully submitted, you will receive a popup, stating it was successful.