In order to assist ERMA in monitoring claims and maintaining reserves for cases that fall within its purview, please download & fill out the following form to the left for each claim or occurrence that is required to be reported to ERMA. Please answer each item as completely as possible with the information available to you. Use additional sheets as necessary.
Initial Claim Report - click here
Please attach to this form a copy of all Governmental Tort Claim, DFEH and/or EEOC documents you have regarding this claim or occurrence.
Assignments to defense counsel will be made through ERMA after consultation with the ERMA member.
If you have any questions, please call Kathy Maylin, Litigation Manager, at (800) 541-4591 ext. 19181, or Lance Gerber, Legal Analyst, ext. 19039.