Important – please read before submitting a claim
This form is for persons wishing to claim for damages or loss they believe to be the result of the negligent actions or omissions of Main Roads Western Australia and/or its contractors.
Please note the following before you proceed:
- Personal injury claims: If you believe you have suffered substantial personal injury, do not complete this form. Instead, we suggest you seek independent legal advice, as strict time limits may apply.
- Claims outside Main Roads’ scope: If your claim falls outside the matters managed by Main Roads, we may provide the details you submit (including your contact information and claim form) to the relevant Local or State Government body or other third-party service provider so that your matter can be dealt with by the appropriate organisation.
By continuing, you confirm you have read and understood this notice.