Attachment A-Damage Claim.pdf

This is a South Carolina Department of Transportation (SCDOT) Damage Claim Form (Form 2062, Rev 08/05/2022) used for filing claims related to vehicle damage. The form outlines specific requirements for claim submission, including: typed or clearly printed information, vehicle owner must be the claimant, vehicle registration must accompany the claim, two repair estimates or paid invoice are required, proper notarization of signature, and photo documentation of damage. Claimants have one year from the date of incident to file a claim.

The form requires comprehensive information including claimant details, contact information, vehicle information, incident details (date, time, location), and amounts claimed for both personal injury and property damage. A notarized affidavit section is included at the bottom of the form, requiring sworn statements about the claim's validity. The form concludes with a section for SCDOT headquarters use only, where claims can be approved or disapproved with corresponding amount and date fields. Photos of pothole damage are specifically requested to include both the pothole itself (if safe to photograph) and the surrounding area to help investigators locate the damage site.