Technology, Management and Budget
GENERAL INFORMATION PERTAINING TO ALL CLAIMS
In accordance with MCL 600.6419, the State Administrative Board is vested with discretionary authority upon advice of the Attorney General to consider, determine, and allow claims against the State of Michigan, its departments, officers, and colleges and universities for an amount less than $1,000.00 for the loss of personal property or personal injury.
If your claim against the State of Michigan is for $1,000 or more, you may decide to file a
claim for only $999.99 with the State Administrative Board; otherwise the State Administrative
Board does not have jurisdiction over this claim and you may choose to file your claim with the
Michigan Court of Claims. Information regarding the Court of Claims can be obtained
Personal property loss reimbursements are based on present value and not replacement cost. If you cannot provide a receipt or proof of the original purchase amount to assist in the determination of the present value of the item(s), the residual balance may be calculated using the average cost. Be sure include receipts. Without a receipt, the value of the item(s) will be depreciated to the residual value of the item (10% of the original value). Also include police/incident reports, estimates, and proof of car insurance deductibles, etc. when applicable.
HOW TO FILE A CLAIM AGAINST THE STATE OF MICHIGAN FOR LESS THAN $1,000 FOR THE LOSS OF PERSONAL PROPERTY OR PERSONAL INJURY
Print the DTMB-1104 Claim Form, Claim Against the State of Michigan for Personal Losses Less than $1000. Page 2 contains instruction and information and does not need to be sent in with the Claim Form.
Fill out the DTMB-1104 Claim Form according to the instructions sheet (page 2-3).
Gather and COPY any documents necessary to support your claim. WE DO NOT RETURN ORIGINAL DOCUMENTS.
THE DTMB-1104 CLAIM FORM MUST BE SIGNED BY THE CLAIMANT AND NOTARIZED.
DO NOT CROSS OUT ANY TEXT PRINTED ON THE FORM.
Send the DTMB-1104 Claim Form to the address listed on page 3.
CLAIMS BY THE GENERAL PUBLIC
Refer to Administrative Guide 0620.08 for more information about claims made by the General Public.
CLAIMS BY STATE OF MICHIGAN EMPLOYEES
Claims OVER $500 must be mailed to the address listed on page 2-3 of the DTMB-1104 Claim Form.
Claims for $500 or less may be submitted to your department's Human Resources Office or Finance Office, or you may mail it to the address listed on DTMB-1104 Claim Form, page 2-3.
Pursuant to MCL 600.6420, your Department Director may choose to resolve any employee's claim of $500 or less, EXCEPT CLAIMS FOR EYEGLASSES, JEWELRY OVER $50, CASH OVER $100.00, AND PERSONAL VEHICLE CLAIMS.
Refer to Administrative Guide 0620.07 for more information about claims made by State of Michigan Employees.
CLAIMS BY CURRENT AND FORMER MICHIGAN DEPARTMENT OF CORRECTION PRISONERS
You may print out the DTMB-1104-P Claim Form here, or a prisoner may request a DTMB-1104-P Claim Form from the Grievance Coordinator at the correctional facility where he/she is incarcerated.
After completing the Claim Form and gathering the documentation needed to support your claim, submit the DTMB-1104-P Claim Form and supporting documentation to the Grievance Coordinator at your facility per MDOC’s policies and procedures.
Prisoners must file property claims consistent with the requirements of the Department of Corrections PD 03.02.131 “PRISONER STATE ADMINISTRATIVE BOARD PROPERTY CLAIMS” and its related procedure OP 03.02.131 which may be found in the law library of each facility.
Refer to Administrative Guide 0620.06 for more information about claims made by MDOC prisoners.
SUBMITTING A CLAIM DENIED BY THE DEPARTMENT OF TRANSPORTATION
In order to submit a claim denied by the Michigan Department of Transportation to the State Administrative Board, please send an email to: DTMB-StateAdBoard@michigan.gov indicating you would like to submit your claim to the State Administrative Board for consideration.
For your convenience, you may cut and paste the following into the email:
I want to submit my claim originally denied by the Department of Transportation to the State Administrative Board for consideration.
My full name is (insert your first and last name)
I filed my claim at the Regional Transportation Service Center in (insert name of city)
Please refer to MCL 691.1402 for more information regarding claims for Highway Defects:
In order to prevail, a claimant must show:
Failure to maintain "the improved portion of the highway designed for vehicular travel"
reasonably safe and fit for travel (design);
Notice of condition given to Michigan Department of Transportation 30 days before
the accident (constructive notice); and
Where the defective condition caused or was a contributing factor to the damages suffered.