Attachment A-Damage Claim.pdf

This is Form 2062, a Damage Claim Form from the South Carolina Department of Transportation (SCDOT) for reporting vehicle damage incidents. The form outlines specific requirements for claim submission, including typed or clearly printed information, proper notarization, inclusion of vehicle registration, two repair estimates or paid invoice, and photographic evidence of damage (especially for pothole-related claims). 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 completed as an affidavit, sworn before a notary public, and includes fields for SCDOT headquarters' final approval or disapproval of the claim. The form emphasizes the importance of proper documentation, particularly for pothole-related damages, requiring photos of both the pothole itself and surrounding area to help investigators locate the damage site.