Court of Claims Claim Request
New York State Courts · Civil Lawsuits
Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗
Unofficial claim form for a self-represented claimant suing the State of New York in the Court of Claims, following Court of Claims Act §11(b), with the time, place and nature of the claim and the damages.
This form must be printed and filled by hand, or opened in Adobe Acrobat.