Get Oregon Standard Tort Claim Form - Oregon.gov - State Of ...

Filling out the Oregon Standard Tort Claim Form is an essential step for individuals seeking compensation for damages or injuries caused by state agency actions. This guide will provide you with straightforward, step-by-step instructions to complete the form online, ensuring you include all required information.

Follow the steps to effectively fill out your tort claim form.

1. Click the ‘Get Form’ button to acquire the form and open it for editing.
2. Begin with the claimant information section. Fill in your full name, including your last name, first name, and middle name, followed by your date of birth in mm/dd/yyyy format.
3. Provide your current residential address. If your mailing address differs, include that information as well.
4. Enter your telephone number. You should list both your home and alternate contact numbers.
5. Input your email address and the date of the incident, including the time, indicating whether it was in the a.m. or p.m.
6. If the incident spanned a duration, include the dates of the first and last occurrences. Specify the exact location of the incident.
7. Describe the incident in detail. Be clear and thorough to help clarify your situation.
8. Indicate whether a police report was filed. If so, provide the report number and the name of the police agency involved.
9. Mention the name of the state agency you believe is responsible for your damages or injuries, along with relevant details.
10. If applicable, provide the name of the employee involved in the incident.
11. If injuries occurred, complete the bodily injury questionnaire and include any necessary details regarding property damage. Provide photographs and estimates for repairs if applicable.
12. List the names, addresses, and phone numbers of witnesses, along with their relationship to the incident.
13. Complete the bodily injury questionnaire, ensuring you answer all required questions related to your medical history and treatment.
14. Review your information for accuracy. Sign and date the form to declare that the information provided is true and correct to the best of your knowledge.
15. Finally, save your completed form. You can download, print, or share the document as needed.

Start completing your Oregon Standard Tort Claim Form online today.