Get Notice Of Intention To File A Claim - Dot Nd

Filling out the NOTICE OF INTENTION TO FILE A CLAIM form correctly is crucial for contractors seeking additional compensation. This guide will walk you through each section of the form to ensure clarity and compliance with the requirements.

Follow the steps to complete your form accurately.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the name of the claimant in the designated field. Ensure that this is the individual or entity filing the claim.
3. Provide the address of the claimant. This should be a complete mailing address to ensure proper communication.
4. Enter the business telephone number of the claimant in the specified field. This helps in providing easy contact if further information is required.
5. Input the PCN (Project Control Number) relevant to the claim. This identifies the specific project related to your claim.
6. Fill in the NDDOT project number. This unique identifier is essential for processing your claim.
7. Describe the circumstances leading to your claim in detail. State the act, failure to act, event, or any other relevant details that form the basis of your claim.
8. Indicate the beginning date of the event or circumstances that led to the claim. Accuracy in this date is crucial for the claim timeline.
9. Check the applicable types of claims from the provided options. You may need to attach additional pages if necessary, detailing changes in work, extra work required, or differing conditions.
10. List the specific pay items affected by the changes. Provide as much detail as possible regarding labor, materials, and equipment impacted.
11. Complete the certification statement at the end of the form. This verifies the accuracy of the information you provided and should be signed and dated by the claimant.
12. Once all fields are filled, save your changes. You can download or print the form for your records or to share it with relevant parties as needed.

Complete your NOTICE OF INTENTION TO FILE A CLAIM - Dot Nd online today to ensure your claim is filed promptly.