Personal Injury Claim Form NYCTA MaBSTOA SIRTOA
This Personal Injury Claim Form is specifically designed for claims related to the New York City Transit Authority. Users can complete and submit this form to seek compensation for personal injuries. Ensure to follow the guidelines provided to properly file your claim.
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How do I fill this out?
To fill out the Personal Injury Claim Form, start by gathering all necessary information regarding the incident. Carefully read each section to ensure you provide complete and accurate details. Submit the form via email within the stipulated timeframe.

How to fill out the Personal Injury Claim Form NYCTA MaBSTOA SIRTOA?
1
Gather all required information about the incident.
2
Fill in your personal and contact details accurately.
3
Provide a detailed account of the incident.
4
Attach any relevant evidence such as photos or videos.
5
Submit the completed form via email to the designated address.
Who needs the Personal Injury Claim Form NYCTA MaBSTOA SIRTOA?
1
Individuals who have experienced personal injuries while using NYC Transit services.
2
Passengers wanting to claim damages after an accident on a bus or train.
3
Those who witnessed an incident involving a MetroCard.
4
Attorneys representing clients who have sustained injuries.
5
Claimants seeking compensation for lost wages due to injury.
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What are the instructions for submitting this form?
To submit this form, email it to serviceclaims@nyct.com within 90 days of the incident. Make sure to attach any supporting documents such as photos, medical records, or witness statements. Following submission, keep a copy for your records and follow up if you do not receive a response within a reasonable timeframe.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure your claim is filed within 90 days of the incident for it to be considered valid. Keep track of one-year deadlines for legal actions following unresolved claims.

What is the purpose of this form?
The purpose of this form is to formally document personal injury claims against the New York City Transit Authority. It allows individuals to provide necessary details about the incident, including witness information and any medical treatments received. This form serves as the initial step in seeking compensation for damages and injuries sustained while using transit services.

Tell me about this form and its components and fields line-by-line.

- 1. Claimant Information: Fields to enter personal details of the claimant.
- 2. Incident Details: Fields to describe the incident including date, time, and location.
- 3. Witness Information: Fields for recording details of any witnesses to the incident.
- 4. Police Report: Information on police involvement and report filing.
- 5. Hospital Information: Details regarding any hospital treatment following the incident.
- 6. Treating Physician Information: Contact information for the medical professional treating the claimant.
What happens if I fail to submit this form?
Failing to submit this form in a timely manner may result in the loss of your right to seek compensation for your injuries. It's crucial to adhere to the 90-day submission window to ensure your claim is considered valid. Delays can significantly impact the resolution process.
- Lost Claims: Claims submitted after the deadline may be denied.
- Legal Consequences: Failure to act promptly may result in legal limitations on your ability to sue.
- Financial Implications: Delays in filing can affect financial recovery for medical and other related expenses.
How do I know when to use this form?

- 1. After a Transit Accident: When injuries occur as a result of an accident on buses or trains.
- 2. When Seeking Compensation: To formally initiate a claim for damages.
- 3. For Personal Injuries: When there are personal injuries sustained while utilizing NYC Transit services.
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How do I fill out required fields?
Required fields are marked with an asterisk; ensure these are filled out before submission.
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You can edit the PDF and re-download it as many times as needed before final submission.
Is there assistance for filling out the form?
You can refer to the instructions provided within the PDF for guidance.
How soon should I submit my claim?
You should submit your claim within 90 days of the incident.
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