Northport, AL · Tuscaloosa County
Proof of Claim Form
The City of Northport Proof of Claim Form lets claimants report alleged City-caused damage and request settlement; claimants complete and submit it to the City Administrator’s Office.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to identify the claimant or property owners, describe when and where damage occurred, explain the City activities believed to have caused it, and list the damages and requested settlement amount. The form directs claimants to complete it in full and submit it to the Northport City Administrator’s Office. For property damage claims, include three estimates itemizing repair or replacement costs.
Who needs it
People seeking to report alleged damage caused by City of Northport activities should complete and submit this form, including all owners of property allegedly damaged.
Why it needs a notary
The form carries a notary statement with a sworn-to-and-subscribed jurat; each claimant signing the affirmation appears before the notary and swears the information is true.
How to get this notarized
- 1
Download The Form
Get the Northport Proof of Claim Form from the City’s document page.
- 2
Complete The Form
Enter claimant details, incident dates and location, the alleged City activities, damages, and requested settlement amount. Include three estimates for property damage.
- 3
Book An Online Notary
Arrange a commissioned online notary and confirm with Northport that it accepts a remotely administered oath for this form.
- 4
Sign On Video
Appear before the notary, sign the claimant affirmation, and swear that the information is true to the best of your knowledge and belief.
- 5
Submit To The City
Send the completed form and any required estimates to the City of Northport Claims Department at the address shown on the form.
Preview the form
The blank PDF straight from Northport. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the completed Proof of Claim Form?
- Complete the form in full and submit it to the Northport City Administrator’s Office. The form lists the Claims Department mailing address and phone number.
- Do I need estimates for a property damage claim?
- Yes. The form says property damage claims must include three estimates itemizing the cost of repair and replacement, as applicable.
- Can I sign this form with a commissioned online notary?
- Alabama’s remote-notary statute, Ala. Code §36-20-73.1, applies to notaries physically located in Alabama. This form requires a sworn jurat, not an acknowledgment; confirm Northport will accept a remotely administered oath before booking.
- Who should be listed as a claimant?
- List the legal names of the claimant or claimants. The form specifically says to give the names of all owners of property allegedly damaged.
- What if I am unsure whether the City will accept my submission?
- Contact the City using the phone number on the form; confirm with the city or town if unsure.