Liability Forms

Print

The Automobile Loss Notice Form or the Accident on State Property Form can either be downloaded in the OneForm format, or they may be directly linked to as PDF files. Please follow the pertinent instructions to access them in either format.

Automobile Loss Notice Form (MO 300-0068) - This form is completed by the state employee and  forwarded along with a copy of the police report  to Risk Management within 2 days.

Accident on State Property - Loss Notice Form (MO 300-0167) - This form is used for visitors (not state employees) who are injured on state property.