You must state a dollar amount on the form. If your claim is accepted by the State, the dollar amount of your claim will need to be documented by independent verification and evidence. The following are examples of acceptable means of independent verification or documentation to be submitted after claim is accepted by the State:
• For stolen or for property that has been damaged, attach the following to support your claim:
Please be advised that the liability must be shown to be directly caused by the act or omission on the part of a state officer or employee as described in the claim. Damage caused by “an act of God” or other accidental occurrence which is not caused by the negligence or breach of duty by a state officer or employee is not the State University’s responsibility. The individual causing the damage must be an officer or employee of the State of New York, not an independent contractor, for the State University to be liable. The State is not obligated to pay replacement value for damaged personal property and the Attorney General will disapprove any small claim that does not reflect a reasonable amount of depreciation. Therefore, depreciation will be factored into the dollar amount of the claim.
The State is not automatically responsible for bills (medical, repairs or other) simply because the incident occurs on its premises or as a result of its operations. It is your responsibility to fulfill your financial obligations. Also, the Small Claims process does not cover damage related to potholes.
One purpose of this reporting process is to identify and avoid other potential incidents which could harm other persons or damage property. After submitting this form, you may be contacted by the EH&S Small Claims Administrator, University Services or University Police for additional information. You should not discuss or provide information to anyone other than the above-mentioned offices. Completing this form will also assist the University in identifying possible corrective action to avoid further incidents.