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Claims Against the State of Michigan

Claims Against the State of Michigan

The State Administrative Board (Ad Board) has authority to consider, determine, and allow claims against the State of Michigan, its departments, officers, and colleges and universities for the loss of personal property or for personal injury in amounts less than $1000.00.

Instructions on how to file claims are on this page below. This includes instructions for the general public, state employees, current or former prisoners, and individuals who had a claim denied by the Michigan Department of Transportation (MDOT).

For claims over $1000.00:

If your claim against the State is for $1,000.00 or more, you may decide to file a claim for only $999.99 with the Ad Board. You may also choose to file your claim with the Michigan Court of Claims.

More info is available on the Court of Claims website.

What value are property losses based on?

Personal property loss reimbursements are based on present value and not replacement cost. If you can't provide a receipt or proof of the original purchase amount to assist in the figuring out the present value of the item(s), the residual balance may be calculated using the average cost.

Claims forms

Claims Against the State

To start a claim against the State of Michigan, you'll need to fill out and submit a DTMB-1104 Claim Form and include documents that support your claim. The form and supporting documents can be submitted by mail or email. You can also file a claim if your claim was denied by the Michigan Department of Transportation (MDOT).

If you are a current or former Michigan Department of Corrections (MDOC) prisoner, please see this page: 

Photo of hand holding a pen filling out a form sitting on a laptop against a window glowing with orange sunlight.

How do I file claim against the state?

Print and complete the DTMB-1104 Claim Form.

Follow the instructions on page 2. Do not cross out anything on the form

Sign the form before a notary.

This is required.

Send the form to us.

Via email: DTMB-StateAdBoard@michigan.gov Via mail: Instructions on where to send it via mail are on the form.

A list of supporting documents we accept is below.

What supporting documentation should I include?

Include the following items to support your claim. Do not send us the originals, use copies. Original documents will not be returned.

  • Original Receipt(s)
  • Repair or replacement estimate(s)
  • Police Report
  • Incident Report
  • Proof of insurance deductible
  • Proof of out-of-pocket costs
Photo of a MDOT construction barricade with an orange signal light on it against a blue sky with wispy clouds.

My claim was denied by MDOT. Can I file my claim with the Ad Board?

Yes.

  • Contact the Ad Board Claims Analyst
    You'll need contact the Ad Board Claims Analyst to submit your claim. They'll need you to provide your name and the name of the MDOT representative who signed the MDOT denial letter.
  • Send this information to use via phone or email.
    You can provide this information to the Ad Board Claims Analyst at:

    Email:     DTMB-StateAdBoard@michigan.gov
    Phone: 517-388-5773

What will I need to provide?

  • Your MDOT Transportation claim packet. 
    We'll request your claim packet from the MDOT Transportation Center and will use the same claim form and supporting documentation to file your claim with the Ad Board.

    If the MDOT-3600 Claim Form has not been notarized, we will return it to you for notarization.

Where can I find more information?

You can read more info regarding Claims Against the State and the claims process in the Administrative Guide: 0620.08 Submission of Claims by the General Public

photo of the State Capitol building in Lansing, Michigan

How do I file a claim against the State as a state employee?

NOTE: Your department director may choose to resolve your claim if it is less than $500, except for claims than involve eyeglasses, jewelry, cash, or personal vehicle.

To file a claim as a State of Michigan employee, follow the process is the same as filing a claim against the State of Michigan:

  • Print and complete the DTMB-1104 Claim Form.
    Follow the instructions on page 2. Do not cross out any print on the DTMB-1104 Claim Form (Claim Form.) 
  • Sign the Claim Form before a notary.
    This is required.
  • Send the Claim Form and copies of any supporting documentation to us.
    You can send the Claim Form to us via email or the mail. Instructions on where to send it via mail are on page 2 of the form. A list of supporting documents we accept is below.

Where do I send my completed form via email?

If you'd like to email your Claim Form, send it to:
DTMB-StateAdBoard@michigan.gov

What supporting documentation should I include?

You can include any of the following items to support your claim. Include as many of these items as you have available. Do not send us the originals, use copies. Original documents will not be returned.

  • Original Receipt(s)
  • Repair or replacement estimate(s)
  • Police Report
  • Incident Report
  • Proof of insurance deductible
  • Proof of out-of-pocket costs
Photo of a Justice statue holding her scales in front of the Michigan flag

How do current and former Michigan Department of Corrections (MDOC) prisoners file claims?

  • Print and complete the DTMB-1104-P Claim Form or request a Claim Form from the Grievance Coordinator or designee at the correctional facility where incarcerated.
    Follow the instructions on page 2. Do not cross out any print on the DTMB-1104-P Claim Form (Claim Form.) 
  • Sign the Claim Form before a notary.
    This is required.
  • Submit the Claim Form to the Grievance Coordinator or designee at your facility per MDOC policy and procedures.
    Include copies of the documentation to support your claim.

What supporting documentation should I include?

Include the following items to support your claim. Do not send us the originals, use copies. Original documents will not be returned.

  • Original Receipt(s)
  • Pack or Unpack documentation
  • Documentation verifying possession and ownership

You can read more information regarding Claims Against the State and the claims process in the administrative guide: Administrative Guide 0620.06.