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 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. 

Address
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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.

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