Flagstaff, AZ · Coconino County
Notice of Claim Form
The Notice of Claim Form lets a claimant submit a claim against the City of Flagstaff and describe the incident, damages, and requested settlement amount.
What this form is
Use this form to present a claim against the City of Flagstaff, including the incident details and a specific amount for which the claim can be settled. The form asks for claimant information, the date and time of the incident, its location and circumstances, and the nature and extent of damages or injuries. It says to file within 180 days after the cause of action accrues and include supporting documents.
Who needs it
Anyone submitting a claim against the City of Flagstaff or a City public employee can use this form to provide the required claim information.
How to submit it
Submit the completed form to the City Clerk’s Office at 211 W. Aspen Avenue, Flagstaff, AZ 86001, in person or by mail, or email it to [email protected]. Include supporting documents such as estimates, invoices, receipts, or photos.
About notarization
This document is signed and dated without a notary; the form mentions supporting documents, but does not say they must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Notice of Claim Form PDF.
- 2
Complete The Form
Fill in all blanks, describing the incident, damages or injuries, and the amount for which the claim can be settled.
- 3
Gather Supporting Documents
Include relevant supporting documents such as estimates, invoices, receipts, or photos.
- 4
Submit To The City
Send the form to the City Clerk’s Office by mail, in person, or email it to [email protected].
Frequently asked questions
- What is the Flagstaff Notice of Claim Form for?
- It lets someone submit a claim against the City of Flagstaff, describing the incident, damages or injuries, and a specific amount for which the claim can be settled.
- Do I need a notary for the Flagstaff Notice of Claim Form?
- No. The document is signed and dated without a notary. It asks for supporting documents, but does not say those documents must be notarized or sworn.
- How do I submit the Flagstaff Notice of Claim Form?
- Send it to the City Clerk’s Office at 211 W. Aspen Avenue, Flagstaff, AZ 86001, in person or by mail, or email it to [email protected]. Include supporting documents.
- What should I include with a Notice of Claim?
- The form asks for details about the incident and the amount sought, along with relevant supporting documents such as estimates, invoices, receipts, or photos.
Need something notarized?
This Notice of Claim Form doesn’t need a notary — but if you have another Flagstaff form that does, a commissioned online notary can help.