State Appeal Board Claim Form and Affidavit

Claims are required to be submitted to the State Appeal Board (SAB) via the State Appeal Board Claim Form and Affidavit.  Tort claims need to be submitted in triplicate, signed and notarized.  For general claims and interdepartmental claims, one original claim form and one copy of all supporting documentation is required.

AttachmentSize
File sab_claimform.xlsx34.79 KB
PDF icon sab_claimform.pdf474.78 KB
Date Published
06/30/2014
Topic(s)
General Claims, Tort Claims, Interdepartmental Claims, Claim Forms

Printed from the Iowa Department of Management website on January 20, 2018 at 10:30pm.