Liability Forms

The Automobile Loss Notice Form or the Accident on State Property Form can be directly linked to as PDF files. Please follow the pertinent instructions to access them.

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

  • Automobile Loss Notice Form

Accident on State Property - Loss Notice Form (MO 300-01907) - This form is used for visitors (not state employees) who are injured on state property.

  • Accident on State Property Loss Notice Form

Source URL:https://oa.mo.gov/general-services/risk-management/liabilityauto-claims/liability-forms