Important Notices

State of New Mexico Tort Notice of Claim

41-4-16. Tort Notice of Claims

Every person who claims damage or injuries from the state of New Mexico under the Tort Claim Act {41-4-1 to 41-4-27 NMSA 1978} shall cause to be presented to the Risk Management Division for claims against the state within ninety days after the occurrence giving rise to claim for which immunity has been waiver under the Tort Claims Act, a written notice stating the time, place and circumstance of damages or injury.

Date of Incident(Required)

Time of Incident(Required)

State Agency Involved(Required)

Claimant's Name(Required)

First Last

Claimant's Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Location of Incident(Required)

If NM Department of Transportation, please include road, Highway #, mile marker and/or landmark

Description of Incident(Required)

Briefly describe how the incident occurred and why you feel State Agency is at fault

Claim Type(Required)

What are you making a claim for? Please choose:

Bodily Injury

Property Damage

Other Type of Damages

Briefly Describe Damages(Required)

Please retain any supporting documents pertaining to your claim

Signature of Claimant or Lawful Representative(Required)

Date(Required)

Important Notices

State of New Mexico Tort Notice of Claim

41-4-16. Tort Notice of Claims

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