Filing of claim

Should a private citizen incur personal injury, death or damage

to property, as provided in the Good Samaritan Act, the private

citizen or a person dependent upon such citizen for principal

support may file a claim in the office of the Governor for

indemnification to the extent that the claimant is not compensated

from any other source for such injury, death or damage. The claim

shall state:

l. The date, place and circumstances which gave rise to the

claim;

Oklahoma Statutes - Title 76. Torts Page 6

2. A general description of the activities of the private

citizen during the event;

3. The estimated extent of the injury, death or damage

sustained for which the claimant is not compensated from any other

source; and

4. Such other information as the office of the Governor may

require.

The claim shall be accompanied by a corroborating statement.