Claim Forms

General Instructions:

  • Forms should be submitted to:
  • Carefully read and follow the instructions included with the form.
  • Do not send any forms to the State until your forms and documentation has been reviewed and approved by the VPO.

Fuel, Ferry, and Bridge toll claim form (PDF)

Medical Expenses claim form (PDF)

Property Loss or damage claim form (PDF)

Extraordinary expense claim form (PDF)