Goodyear, AZ · Maricopa County
Notice of Claim Form
This form lets a claimant report a claim for personal injury or property damage to the City of Goodyear and provide supporting details.
What this form is
The City of Goodyear provides this form for claims involving damage to a person or personal property. It asks for claimant and incident information, a description of the claimed fault and losses, the amount sought, and supporting details and documents. The form states that claims must be filed within 180 days after the cause of action accrues and that the claimant is responsible for complying with state law.
Who needs it
A person submitting a claim to the City of Goodyear for bodily injury or personal property damage may use this form.
How to submit it
For claims against the City, hand deliver or mail the notice and all supporting documentation to the City Clerk, City of Goodyear, 1900 N. Civic Square, Goodyear, AZ 85395. Claims against city employees or officials must be served by a method specified in Rule 4.1 of the Arizona Rules of Civil Procedure.
About notarization
This form has no notary block; the claimant signs and dates it, certifying under penalty of perjury that the statements are true and correct.
How to submit this form
- 1
Download The Form
Download the Notice of Claim Form for claims involving bodily injury or personal property damage.
- 2
Complete The Claim Details
Provide claimant contact information, incident details, a description of the injury or damage, and the amount claimed.
- 3
Gather Supporting Documents
Attach relevant bills, records, receipts, estimates, invoices, and any additional pages needed to describe the claim.
- 4
Submit To The City Clerk
For claims against the City, hand deliver or mail the completed notice and all supporting documentation to the City Clerk at the address on the form.
Frequently asked questions
- What is the Goodyear Notice of Claim Form for?
- It collects information about a claim involving bodily injury or personal property damage, including the incident, claimed fault, losses, amount sought, and supporting documents.
- How do I submit the Notice of Claim Form?
- For claims against the City, hand deliver or mail the notice and supporting documents to the City Clerk at 1900 N. Civic Square, Goodyear, AZ 85395. Claims against employees or officials have a different service method stated on the form.
- Do I need a notary for the Notice of Claim Form?
- No. The form has no notary block. The claimant signs and dates it and certifies under penalty of perjury that the statements are true and correct.
- What supporting documents does the form request?
- The form requests receipts, invoices, and estimates for property damage; bills and records for medical expenses; and bills, receipts, or other documents for additional expenses. It also asks about photographs and other helpful information.
Need something notarized?
This Notice of Claim Form doesn’t need a notary — but if you have another Goodyear form that does, a commissioned online notary can help.