Claims for Damages Form
Use this form to file a claim against the City when an incident occurs and an involved party believes the City has been negligent in performing its duties.
In order for a municipality to be liable for any damages or injuries, the City must have knowledge (or should have had knowledge) that a hazardous situation exists. Further, it must know a hazardous situation exists and not do anything to correct the situation in a timely fashion.
Instructions for filing a claim:
Select one of the two following versions and complete the Claim for Damages Form.
- Use the "Fill-in" version of the form to type information and print it in preparation for signing.
Fill-in Claim for Damages Form
- Use the "Manual" version of the form to print and manually fill it out.
Manual Claim for Damages Form.
Sign the form in the presence of a notary.
Mail or bring the completed form into City Hall (location and mailing address on claim form).
For information, contact the City's Claims Manager, Connie Cobb, 360.753.8451.