Surprise, AZ · Maricopa County
Notice of Claim Form
This form lets a person submit a claim against the City of Surprise and describe the incident, alleged fault, injuries, and requested settlement amount.
What this form is
Use this form to present a claim against the City of Surprise. It asks for claimant contact details, the incident date and location, a description of what happened, why the claimant believes the city was at fault, witness information, injuries, and the amount sought. The form requests supporting documents such as estimates, bills, receipts, photos, and witness statements, and notes that claims must comply with Arizona law.
Who needs it
A person seeking to make a claim against the City of Surprise can use this form to provide incident details and supporting information.
How to submit it
Deliver the claim to the Office of the City Clerk, 16000 N Civic Center Plaza, Surprise, AZ 85374, the person authorized to accept service of a Notice of Claim.
About notarization
This form is signed and dated without a notary; it asks for supporting documents, but does not say they must be notarized.
How to submit this form
- 1
Download The Form
Download the City of Surprise Notice of Claim Form.
- 2
Complete The Claim Details
Provide claimant contact information, incident details, witness information, injuries, and the specific amount sought.
- 3
Gather Supporting Documents
Attach copies of supporting documents, such as estimates, bills, receipts, photos, and witness statements.
- 4
Sign And Date The Form
The claimant or authorized representative signs and dates the certification.
- 5
Deliver The Claim
Deliver it to the Office of the City Clerk at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Notice of Claim Form?
- No. The form asks the claimant or authorized representative to sign and date it; supporting documents are requested, but the form does not say they must be notarized.
- How do I submit the Notice of Claim Form?
- Deliver it to the Office of the City Clerk at 16000 N Civic Center Plaza, Surprise, AZ 85374, which the form identifies as authorized to accept service of a Notice of Claim.
- What information does the form ask for?
- It requests claimant contact details, incident date and location, an incident description, why the city was allegedly at fault, witness details, injuries, and the amount sought.
- What supporting documents should I attach?
- The form asks for copies of supporting documents such as written estimates, bills, receipts, photos, and statements from supporting witnesses.
Need something notarized?
This Notice of Claim Form doesn’t need a notary — but if you have another Surprise form that does, a commissioned online notary can help.