Government Claims Form {DGS ORIM 06} | Pdf Fpdf Doc Docx | California

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Government Claims Form {DGS ORIM 06} | Pdf Fpdf Doc Docx | California

Last updated: 10/31/2025

Government Claims Form {DGS ORIM 06}

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Description

DGS ORIM 006 - GOVERNMENT CLAIM. This is a State of California Department of General Services document used to file claims against the state for damages, injury, or loss allegedly caused by state agencies or employees. Managed by the Office of Risk and Insurance Management (ORIM), this form collects claimant, attorney, and incident details, including the date, location, and explanation of damages. It also includes sections for automobile-related claims, insurance details, and a declaration under penalty of perjury. A $25 filing fee (check or money order payable to the State of California) is generally required unless filing an amendment. Claims must be mailed or delivered to the ORIM office in West Sacramento. www.FormsWorkflow.com

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