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Claim Procedure

1. Entity shall notify LGLP in writing within ten (10) days of occurrence or knowledge of occurrence of any accident, occurrence or loss which could reasonably be assumed would produce a liability claim.
2. For accidents or occurrences involving bodily injury, LGLP should be notified as soon as practical by phone, followed by the required written notice.
3. Claimant shall complete claim form
4. Claimant shall file claim form with the governmental entity in which claim is against.
5. The entity shall forward the original notice of claim or lawsuit to LGLP immediately following
   receipt, designating:
   a. the date received;
   b. if personally presented, by whom and date served;
   c. if by mail, date received;
   d. any and all correspondence received from the party submitting the claim.
6. The entity shall also prepare and forward to LGLP a written narrative stating:
   a. Time, place and circumstances giving rise to the claim or occurrence;
   b. Identity, address and phone number of persons involved, including any witnesses;
   c. Statements of circumstances from employee(s) involved in or witness to the accident; and
   d. Name, title, address and phone number of entity representative that will be available for further contact
7. LGLP will investigate claim and notify claimant and entity of its findings.

Please note: There are both a Word and PDF version of the Claim Form. If you do not have access to printing on legal paper please download the Word form and insert the page breaks as needed.

Printable Claim Form (MS Word)

Printable Claim Form (PDF)

Local Government Liability Pool  |   P.O. Box 20700  Cheyenne, Wyoming 82003-7015  |  1-307-638-1911