006-3 Wyo. Code R. § 3-2
Current through April 27, 2019
Every claim shall include the following information if an approved claim form (Appendix A) is not utilized to file the claim:
(a) The time, place and circumstances of the alleged loss or injury including the name of the public employee involved, the highway number, license plate and unit number, if known;
(b) The name, address and residence of the claimant and his representative or attorney, if any;
(c) The amount of compensation or other relief demanded with two written estimates on company invoice or letterhead if applicable;
(d) The claim shall be properly signed, certified "under penalty of perjury," dated and notarized by the claimant.
006-3 Wyo. Code R. § 3-2