New Mexico Rail Runner Tort Notice of Claim

To submit a Rail Runner Claim fill in as much information as possible about your incident below.

41-4-16. Rail Runner Tort Notice of Claim

A. Every person who claims damage or injuries from the state under the Tort Claim Act {41-4-1 to 41-4-27 NMSA 1978} shall cause to be presented to the Risk Management Division for claims against the state within ninety days after the occurrence giving rise to claim for which immunity has been waiver under the Tort Claims Act, a written notice stating the time, place and circumstance of loss of injury:

Date of Incident(Required)

Time of Incident(Required)

Railroad Mile Post or Station Facility

Train Number

Railroad Crossing (Street)

Weather Conditions

Consist (Locomotive and Car Number)

Condition and # of Equipment (if involved)

Conductor(s)

Engineer

Claimant's Name(Required)

First Last

Claimiant's Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Description of Incident(Required)

Please describe how the incident occurred and why you feel the State Agency is at fault

Claim Type(Required)

What are you making a claim for? Please choose:

Bodily Injury

Property Damage

Other Type of Damages

Briefly Describe Injury or Damages(Required)

Please retain any supporting documents pertaining to your claim

Signature of Claimant or Lawful Representative(Required)

Date(Required)

New Mexico Rail Runner Tort Notice of Claim

41-4-16. Rail Runner Tort Notice of Claim

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Mailing Address

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