The JPIA's Claims Staff Coordinates the defense and/or settlement of all covered claims by or against the districts. Crucial to their efforts is cooperation by the members in the form of early reporting of all incidents.

Liability Claims Reporting and Handling Procedure

Liability Program Claims Information

CA State DMV Traffic Accident Report

  Claim Incident Form       (Form in Word format)   * For District Members Only *

  Claim Incident Form (Auto Only)       (Form in Word format)   * For District Members Only *

Driver's Report of Accident

Claim Form   * For Claimants*

Small Claims Settlement Option

Monthly Small Claims Report Form

Sample Letters

Property Program Claims Information

CA State DMV Traffic Accident Report

  Claim Incident Form       (Form in Word format)   * For District Members Only *

  Claim Incident Form (Auto Only)       (Form in Word format)   * For District Members Only *

Driver's Report of Accident

Workers' Compensation Program Claims Information

Injury/Illness Claims Reporting Kit

Claim Form (DWC1) & Notice of Potential Eligibility

Claim Form (5020)