Ketchikan, AK · Ketchikan Gateway Borough

Notice of Claim Against the City for Damages

This notarized claim form lets a person notify the City of Ketchikan that they intend to seek damages for personal injury or property loss allegedly caused by the City or its employees.

Standard form~15 min to notarize
  • 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 describe the incident, alleged cause, injuries or property damage, witnesses, and the amount claimed. The claimant verifies the information under penalty of perjury and must have the claim notarized. The completed claim must be mailed or delivered to the City Clerk of the City of Ketchikan; the form says unverified or unnotarized claims will be returned.

Who needs it

A person seeking damages for an injury or property loss allegedly caused by the City of Ketchikan or its employees must complete and file this claim.

Why it needs a notary

The form includes a sworn-to and subscribed-before-me jurat for a Notary Public for Alaska; the claimant signs the verification before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the City of Ketchikan notice of claim form.

  2. 2

    Fill In the Claim

    Describe the incident, injuries or property damage, witnesses, and claimed amounts; attach supporting information as needed.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary to notarize the claimant's verification.

  4. 4

    Sign on Video

    Sign the verification during the online notary session and complete the jurat.

  5. 5

    Submit to the City

    Mail or deliver the completed claim to the City Clerk of the City of Ketchikan.

Preview the form

The blank PDF straight from Ketchikan. Look it over, then upload your filled copy to start the notary session.

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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 file this claim?
Complete the form, sign its verification before a notary, and mail or deliver the completed claim to the City Clerk at the address listed on the form.
Do I need to attach supporting information?
The form asks for an itemized list of claimed losses and suggests attaching estimates, repair bills, receipts, or other information supporting the amounts claimed.
Can I sign this claim with an online notary?
Alaska authorizes remote online notarization by a commissioned online notary, and Alaska generally recognizes out-of-state notarial acts. Because this form specifies a Notary Public for Alaska, confirm with the borough or municipality if unsure.
What if there is not enough space on the form?
Attach additional paper and identify the information by paragraph number, as the form instructs.

Ready to notarize your Notice of Claim Against the City for Damages?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.