El Mirage, AZ · Maricopa County
Notice of Claim Form
Claimants use this form to submit a notice of a claim against the City of El Mirage or a city employee.
What this form is
The form collects claimant contact details and information about the event, alleged fault, witnesses, injuries, and property damage. It asks claimants to state a specific total dollar amount and provide supporting documentation, such as receipts or medical reports where available. The form says all notices must be signed, dated, and sent to the city; incomplete information may result in the notice being returned as defective.
Who needs it
A person making a claim against the City of El Mirage or a city employee can use this form to provide the requested claim information.
How to submit it
Send the completed, signed, and dated notice to the City of El Mirage at 10000 N. El Mirage Road, El Mirage, AZ 85335. The form states that notices must be sent to the city.
About notarization
This document is signed without a notary; it asks the claimant to sign and date the form, and lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Notice of Claim Form.
- 2
Complete The Form
Fill in the requested claimant, occurrence, fault, damage, injury, and witness information.
- 3
Gather Supporting Documents
Attach receipts or other documentation for amounts claimed, and medical reports where available.
- 4
Sign And Send To The City
Sign and date the notice, then send it to the City of El Mirage at the address shown on the form.
Frequently asked questions
- What information does the Notice of Claim Form ask for?
- It asks for claimant contact information, details about the occurrence and alleged fault, damage or injury amounts, witnesses, and any additional comments.
- How do I submit the Notice of Claim Form?
- Complete, sign, and date the notice, then send it to the City of El Mirage at the address listed on the form: 10000 N. El Mirage Road, El Mirage, AZ 85335.
- Do I need a notary for the Notice of Claim Form?
- No. The form calls for a signature and date, not notarization. It also asks for supporting documentation, such as receipts or medical reports where available.
Need something notarized?
This Notice of Claim Form doesn’t need a notary — but if you have another El Mirage form that does, a commissioned online notary can help.