Peoria, AZ · Maricopa County
Notice of Claim Form and Procedure
Claimants use this form to describe a claim against the City of Peoria, including the loss, facts, claimed amount, and claimant information.
What this form is
The form provides a way to present a notice of claim against the City of Peoria. It asks for details about the loss and occurrence, the claimant, any injuries or property damage, witnesses, and the specific amount for which the claim can be settled. The document states that claims must comply with Arizona law and be filed within 180 days after the cause of action accrues.
Who needs it
A person or entity asserting a claim against the City of Peoria can use this form to provide the claim details requested by the city.
How to submit it
Serve the notice of claim upon the City Clerk, City of Peoria, Arizona, Room 150, Peoria, Arizona 85345, as stated on the form.
About notarization
This claim form is signed and dated without a notary; it lists no notarized or sworn attachment, so the claimant just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Notice of Claim Form and Procedure.
- 2
Complete The Claim Details
Fill in the requested information about the loss, claimant, occurrence, damage or injuries, witnesses, and settlement amount.
- 3
Sign And Date
Sign and date the claimant signature line.
- 4
Serve The City Clerk
Serve the notice upon the City Clerk at the location stated on the form.
Frequently asked questions
- Do I need a notary for the Notice of Claim Form?
- No. The form has a claimant signature and date line but no notary block; it lists no notarized or sworn attachment.
- How do I submit the Notice of Claim Form?
- The form says to serve the notice upon the City Clerk, City of Peoria, Arizona, Room 150, Peoria, Arizona 85345.
- What information does the form ask for?
- It asks for loss and occurrence details, claimant information, property damage or injuries, witness information, and the specific amount for which the claim can be settled.
- What filing period does the form state?
- The notice says claims must be filed within 180 days after the cause of action accrues and must comply with Arizona law.
Need something notarized?
This Notice of Claim Form and Procedure doesn’t need a notary — but if you have another Peoria form that does, a commissioned online notary can help.