Guadalupe, AZ · Maricopa County

No notary required

Liability Claim Form

This form lets people submit claims to the Town of Guadalupe for damages to a person or personal property.

What this form is

Use this form to make a claim against the Town of Guadalupe for injury or damage to personal property. The form says claims must be filed within 180 days after the cause of action accrues and asks for claimant and incident details, a description of the injury or damage, witnesses, and the amount requested. Damage claims must include photos and a repair estimate.

Who needs it

People seeking compensation from the Town of Guadalupe for personal injury or property damage use this form to describe their claim.

How to submit it

Return the completed form to the Town Clerk's Office, 9241 S. Avenida del Yaqui, Guadalupe, AZ 85296. Include photos and a repair estimate for damage claims.

About notarization

This document is signed without a notary; the signer certifies under penalty of perjury and signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Town of Guadalupe Liability Claim Form.

  2. 2

    Complete The Form

    Fill in all sections, describe the incident and damage, and provide the amount requested and supporting details.

  3. 3

    Gather Required Attachments

    For a damage claim, include photos and a repair estimate; the form also requests copies of bills, invoices, estimates, and receipts supporting the amount claimed.

  4. 4

    Return It To The Town

    Return the form to the Town Clerk's Office at 9241 S. Avenida del Yaqui, Guadalupe, AZ 85296.

Frequently asked questions

Do I need a notary for the Liability Claim Form?
No. The form has no notary block; the signer certifies under penalty of perjury and signs and dates it.
How do I submit the Liability Claim Form?
Return the completed form to the Town Clerk's Office at 9241 S. Avenida del Yaqui, Guadalupe, AZ 85296. Damage claims must include photos and a repair estimate.
What information does the form request?
It asks for claimant and incident details, information about the injury or property damage, witnesses, and the dollar amount requested to settle the claim.
When must I file a claim?
The form states that a claim must be filed within 180 days after the cause of action accrues.

Need something notarized?

This Liability Claim Form doesn’t need a notary — but if you have another Guadalupe form that does, a commissioned online notary can help.