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  • Modot Causes Property Damage Form

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Form A-472 (1 2-79) PROPERTY DAMAGE RELEASE AND REPORT RELEASE DAMAGE REPORT County Route Job No. (Day-Mo.-Yr.) 1. Date that property damage occurred Property OwnerS Name Owner's Mailing Address Location.

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In order for you to recover money for vehicle damage caused by a pothole, the government must have been negligent. With potholes, this generally means that the government was aware of the pothole's existence but failed to reasonably repair it.

The claim form and all the relevant documents should be submitted in person to any Roads Office in the Free State (see contact lists of regions below) or can be emailed to: claims.roads@gmail.com.

Clyburn said damage from a pothole can get costly. “You could be looking anywhere from 800 to 1,200 dollars pretty easy,” he said. But with the MoDOT reimbursement program, you may get some of that money back.

If you believe your car was damaged as a result of hazardous road conditions, such as potholes, you may be able to receive reimbursement from the owner of the road [city, county, or state]. Contact the appropriate city, county or the state and file a damage claim.

For Emergency concerns (especially signals on flash or dark and downed stop signs) please contact us immediately at: 1-888-275-6636.

You can report potholes to MoDOT by calling 1-888-ASK-MODOT (1-888-275-6636) or reporting online [.modot.org].

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232