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Clear Form Michigan Department Of Transportation 1968 (08/16)Instructions to Claimant:RECEIPT OF REQUIRED CLAIMANT INFORMATIONPage 1 of 10(To be completed and returned by the Claimant.)THIS SECTION.

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How to fill out the MI MDOT 1968 online

The MI MDOT 1968 form is essential for individuals seeking to file claims against the Michigan Department of Transportation regarding property damage or personal injuries resulting from a sewage disposal system event. This guide provides clear and concise instructions for completing the form effectively online.

Follow the steps to successfully complete the MI MDOT 1968 form.

  1. Press the ‘Get Form’ button to download the MI MDOT 1968 form and open it in the designated editor.
  2. Begin by filling out the 'Claimant Information' section. This includes entering your name, telephone number, and mailing address. Ensure you complete all fields marked with an asterisk (*), as these are required for your claim to be considered.
  3. Provide the address of the affected property, including city, state, and zip code. This information is critical as it helps identify the location involved in the claim.
  4. Enter the date of the event or when you discovered the damage. Accuracy in this date is important for compliance with the notice requirements.
  5. State the amount of your claim and include a detailed description of how you determined its value. Supporting documentation may be necessary, so be prepared to attach relevant documents.
  6. In the description of the claim, be as detailed as possible. Include any estimates, photos, or other evidence that may support your claim. Attach additional sheets if your explanation requires more space.
  7. Sign the form confirming that the information provided is true to the best of your knowledge. Make sure to include the date of your signature.
  8. Once you have completed the form, you can save your changes digitally. It is advisable to download and print a copy for your records before submitting it.
  9. Submit the completed form through the appropriate channels as detailed in the MDOT instructions. This may involve mailing your signed form to the designated MDOT representative.

Complete your MI MDOT 1968 form online today to ensure your claim is processed efficiently.

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Bradley C. Wieferich, P.E. Our goal is to keep Michigan's motorists safe, informed, and mobile. That is why MDOT offers many ways to help ease the stress of commuting by providing information that commuters want and need as they make daily travel decisions.

Gregg Brunner - Chief Engineer & Chief Operations Officer - Michigan Department of Transportation | LinkedIn.

Wieferich, P.E., is the Director for the Michigan Department of Transportation (MDOT).

The Michigan Department of Transportation is a government agency with jurisdiction in the State of Michigan in the United States of America for research, planning, awarding contracts, construction, and maintenance of transportation infrastructure, including roads, highways, public transit, railway facilities, ports, ...

At MDOT, we are here to help. If you can't find what you are looking for in our popular topics, frequently asked questions or website search, give us a call at 517-241-2400 or fill out our contact form.

The primary purpose of MDOT is to maintain the Michigan State Trunkline Highway System which includes all Interstate, US and state highways in Michigan with the exception of the Mackinac Bridge. Other responsibilities that fall under MDOT's mandate include airports, shipping and rail in Michigan.

Bradley C. Wieferich, P.E. Our goal is to keep Michigan's motorists safe, informed, and mobile. That is why MDOT offers many ways to help ease the stress of commuting by providing information that commuters want and need as they make daily travel decisions.

Michigan Department of Transportation Department overview Annual budget $4.7 Billion Department executives Brad Wieferich, Director Michael Hayes, Transportation Commission Vice-Chair Key document Constitution of Michigan Article V § 28 Website .michigan.gov/mdot6 more rows

Wieferich, P.E., is the Director for the Michigan Department of Transportation (MDOT).

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