Attachment A-Damage Claim.pdf

This is a South Carolina Department of Transportation (SCDOT) Form 2062 Damage Claim Form, associated with an On-Call Thermo Markings contract for Pickens/Oconee counties. The form outlines the requirements and process for filing a damage claim with SCDOT, including key criteria such as proper notarization, vehicle registration documentation, repair estimates, and photographic evidence of damage. Claimants have one year from the date of incident to file a claim.

The form requires detailed information including claimant contact details, vehicle information, incident location details, and damage amounts for both personal injury and property damage. It must be properly notarized with an affidavit section requiring the claimant to swear they have not received compensation from other sources. The bottom section is reserved for SCDOT headquarters use only, where claims can be approved or disapproved with corresponding amounts and dates recorded.