Bullhead City, AZ · Mohave County
Notice of Claim
This form lets a person submit a claim against Bullhead City or a city employee for an occurrence that caused injury or property damage.
What this form is
The Notice of Claim form records information about an occurrence and the injury or damage a person claims resulted from it. It asks for claimant contact details, event specifics, claimed settlement amounts, witnesses, and supporting evidence. The form says a total settlement amount is required for a valid claim and that the notice must be signed and dated.
Who needs it
A person claiming injury or property damage caused by the City of Bullhead City or a city employee can use this form to present the claim.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; it requests supporting receipts or medical reports where available, but does not require a notarized attachment.
How to submit this form
- 1
Download The Form
Download the Notice of Claim form.
- 2
Complete The Claim
Fill in the requested claimant, occurrence, damage or injury, settlement amount, and witness information.
- 3
Gather Supporting Evidence
Attach receipts or other documentation of claimed amounts and medical reports where available.
- 4
Sign And Submit
Sign and date the notice, then submit it to the city department named on the form.
Frequently asked questions
- What information does the Notice of Claim form request?
- It requests claimant contact information, details about the occurrence, descriptions and settlement amounts for damage or injuries, witness information, and any additional information to consider.
- Do I need a notary for the Notice of Claim?
- No. The form calls for a signature and date, not notarization. It requests supporting receipts or medical reports where available, but does not require a notarized attachment.
- How do I submit the Notice of Claim?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Notice of Claim doesn’t need a notary — but if you have another Bullhead City form that does, a commissioned online notary can help.