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Vehicle Crash/Damage Notice form (PDF)

This form is only to be used for reporting vehicle crash and vehicle damages involving State of Minnesota vehicles insured by the State of Minnesota Risk Management Division.

Before completing this form, download and save the PDF file to your computer. Then complete the form using Adobe Reader or Acrobat to ensure your changes take effect.

Please do not enter data into the form from within your web browser. Your data may not be saved.

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