Information Needed to File a Claim without using the CSU Claim Form

Claimants are not required to use the CSU Claim Form so long as they provide the following information:

1. The name and address of the claimant
2. The address to which the claimant desires notices be sent
3. The date, place and other circumstances which gave rise to the claim asserted
4. A general description of the loss incurred
5. The name or names of the CSU employee or employees causing the loss, if known
6. The amount claimed, including any estimated amount of prospective loss, together with the basis of computation for those amounts. If the amount claimed and/or the prospective loss is unknown, the claimant shall state whether those amounts are believed to exceed $25,000.

The claim shall be signed by the claimant or by some person on his/her behalf.

The claim must be filed with the Office of Risk Management & Public Safety within six (6) months after the incident or event occurred along with a $25 claim filing fee made out to "Trustees of CSU."

Completed claims must be delivered or mailed to:

The California State University - Office of the Chancellor
Risk Management and Public Safety
401 Golden Shore, 5th Floor
Long Beach, CA 90802-4210