<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 25.02.03.05" title_num="25" subtitle_num="02" chapter_num="03" heading="Documentation.">
  <paragraph num="A.">
    <text>Death. In support of a claim for death, the claimant may be required to submit the following evidence or information:</text>
    <paragraph num="(1)">
      <text>An authenticated death certificate or report, or both, of postmortem examination showing the date and cause of death and the age of the decedent;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Documentation of the decedent's employment or occupation, if any, at time of death, including the decedent's monthly or yearly salary or earnings and the duration of the decedent's last employment or occupation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Identification by full name, address, birthdate, kinship, and marital status of each of the decedent's survivors, including identification of those survivors who were dependent for support upon the decedent at the time of the decedent's death;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Documentation of the degree of support afforded by the decedent to each survivor dependent for support upon the decedent at the time of the decedent's death;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Evidence of the decedent's general physical and mental condition before death;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Itemized bills for medical and burial expenses incurred by reason of the incident causing death or itemized receipts of payment for these expenses;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the:</text>
      <paragraph num="(a)">
        <text>Injuries suffered,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Duration of pain and suffering,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Drugs administered for pain, and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Decedent's physical condition in the interval between injury and death; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Other evidence or information that, in the Treasurer's judgment, may have a bearing on either the responsibility of the State for the death or for the damages claimed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Personal Injury. In support of a claim for personal injury, the claimant may be required to submit the following evidence or information:</text>
    <paragraph num="(1)">
      <text>A written report by the claimant's attending physician or dentist setting forth the nature and extent of the injury, the nature and extent of treatment, any degree of temporary or permanent disability, the prognosis, the period of any hospitalization, and any diminished earning capacity;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the claimant is required by the Treasurer to submit to a physical or mental examination by a physician employed or retained by the State, a copy of the report of the examining physician, which shall be made available to the claimant upon the claimant's written request provided that the claimant has:</text>
      <paragraph num="(a)">
        <text>Upon the Treasurer's request, furnished the report referred to in §B(2), above, and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Made or agrees to make available to the Treasurer any other physician's reports previously or thereafter made of the physical or mental condition that is the subject matter of the claim;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Itemized bills for medical, dental, and hospital expenses incurred or itemized receipts of payment for those expenses;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If the prognosis reveals the necessity for future treatment, a statement of expected expenses for that treatment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>If a claim is made for lost wages due to loss of time from employment, a written statement from the claimant's employer stating the actual time lost from employment, whether the claimant is a full or part-time employee, and the wages or salary actually lost;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>If a claim is made for loss of income and the claimant is self-employed, documentary evidence showing the amount of earnings actually lost; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Other evidence or information that, in the Treasurer's judgment, may have a bearing on either the responsibility of the State for the personal injury or for the damages claimed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Property Damage. In support of a claim for property damage or loss, the claimant may be required to submit the following evidence or information:</text>
    <paragraph num="(1)">
      <text>Proof of ownership or evidence of the claimant's contractual obligation to repair or replace the property;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A detailed statement of the date of purchase, purchase price, actual cash value at time of the incident, and amount claimed with respect to each item of property reasonably capable of economical repair;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A detailed statement of the date of purchase, purchase price, actual cash value at time of the incident, and salvage value with respect to each item of property not reasonably capable of economical repair;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An itemized receipt of payment for emergency repairs or three itemized written estimates of the cost of necessary repairs; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Other evidence or information that, in the judgment of the Treasurer, may have a bearing on either the responsibility of the State for the property damage or loss or for the damages claimed.</text>
    </paragraph>
  </paragraph>
</regulation>