Tempe, AZ · Maricopa County

No notary required

Notice of Claim Form

Claimants use this form to notify the City of Tempe of a claim for damages to a person or property and provide supporting information.

What this form is

The City of Tempe offers this form for claims involving damage to a person or property. The form states that claims must comply with the cited state statute and be filed within 180 days after the cause of action accrues. It asks for incident details, the amount requested, supporting documents, and information about injuries, property damage, witnesses, and the claimant.

Who needs it

A person seeking damages from the City of Tempe for an injury or property loss can use this form to present the claim.

How to submit it

The form says claims should be submitted by hand delivery to the City Clerk’s Office, 31 E. 5th Street, 2nd Floor, Tempe, AZ 85281.

About notarization

This form is signed without a notary; it includes a claimant certification under penalty of perjury, but no notarized attachment is identified.

How to submit this form

  1. 1

    Download the Form

    Download the Tempe Notice of Claim Form PDF.

  2. 2

    Complete the Claim Details

    Provide claimant information, incident facts, details about the loss, and the amount requested.

  3. 3

    Gather Supporting Documents

    Include copies of bills, invoices, estimates, receipts, or other supporting information identified by the form.

  4. 4

    Submit to the City

    Hand-deliver the claim to the City Clerk’s Office at the address listed on the form.

Frequently asked questions

What is the Tempe Notice of Claim Form for?
It is for presenting a claim to the City of Tempe for damages to a person or property, with details about the incident, claimed loss, and amount requested.
Do I need a notary for the Tempe Notice of Claim Form?
No. The form is signed without a notary and includes a certification under penalty of perjury. It identifies no attachment that must be notarized.
How do I submit the Notice of Claim Form?
The form says to submit claims by hand delivery to the City Clerk’s Office at 31 E. 5th Street, 2nd Floor, Tempe, AZ 85281.
What information does the form ask for?
It asks for claimant and incident details, the facts supporting the claim, injury or property damage information, the requested settlement amount, and supporting bills or other documents.

Need something notarized?

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