Apache Junction, AZ · Pinal County
Notice of Claim Against the City
This form lets a claimant submit a notice of alleged damage or injury involving the City of Apache Junction or its employees.
What this form is
The form assists with processing a claim against the city or its employees and asks for claimant details, information about the alleged occurrence, and the damages claimed. The instructions say to include available supporting documents and to sign and file the form with the City Clerk’s Office; the city investigates the claim after receiving it.
Who needs it
A person claiming damages or injury allegedly caused by the City of Apache Junction or its employees can use this form to submit a claim.
How to submit it
Mail or hand-deliver the signed form and available supporting documents to the City Clerk’s Office, City of Apache Junction, 300 E. Superstition Boulevard, Apache Junction, AZ 85119.
About notarization
This document is signed without a notary; the claimant does swear or affirm the statements are true, but the form has no notary block.
How to submit this form
- 1
Download The Form
Download the Notice of Claim form.
- 2
Complete The Form
Enter claimant information, describe the alleged occurrence and damages, and state the amount demanded to settle the claim.
- 3
Gather Supporting Documents
Include available supporting materials such as medical bills, repair estimates, photographs, or other records.
- 4
Sign And Date The Form
Sign and date the completed form.
- 5
Submit To The City
Mail or hand-deliver the form and available supporting documents to the City Clerk’s Office at the address listed in the instructions.
Frequently asked questions
- What is the Apache Junction Notice of Claim form for?
- It assists with processing a claim against the city or its employees and collects claimant information, details about the alleged occurrence, and the damages claimed.
- Do I need a notary for the Notice of Claim?
- No. The form has no notary block, though the claimant must swear or affirm that the statements are true and sign the form.
- How do I submit the Notice of Claim?
- Sign and mail or hand-deliver the form, with available supporting documents, to the City Clerk’s Office at 300 E. Superstition Boulevard, Apache Junction, AZ 85119.
- What supporting documents should I include?
- The instructions suggest including available documents such as medical bills, repair estimates, photographs, bills, records, receipts, or invoices.
Need something notarized?
This Notice of Claim Against the City doesn’t need a notary — but if you have another Apache Junction form that does, a commissioned online notary can help.