Prescott, AZ · Yavapai County
Notice of Claim for Damages
This form lets people who believe the City of Prescott caused injury or property damage submit a claim with supporting details and documentation.
What this form is
Use this notice to report injury or property damage you believe the City of Prescott caused and state the amount you are claiming. The document says to file it with the City Clerk within 180 days of the incident. It asks for claimant and incident details, the reason the City is responsible, damage amounts, supporting documents, witness information, and a proposed settlement amount.
Who needs it
A person claiming injury or property damage for which they believe the City of Prescott is responsible should complete and file this notice.
How to submit it
File it with the City Clerk within 180 days of the incident, by mail to P.O. Box 2059, Prescott, AZ 86302, or by hand delivery to 201 S. Cortez, Prescott, AZ 86303.
About notarization
This document is signed and dated without a notary; the signer declares the information true and correct to the best of their knowledge and belief.
How to submit this form
- 1
Download The Notice
Download the Notice of Claim for Damages PDF.
- 2
Complete The Form
Provide claimant, incident, responsibility, and damage information, and sign and date the notice.
- 3
Gather Supporting Documents
Attach supporting documentation, such as photographs when available and relevant receipts, estimates, bills, or records.
- 4
File With The City Clerk
File within 180 days of the incident by mail to P.O. Box 2059 or by hand delivery to 201 S. Cortez in Prescott.
Frequently asked questions
- Do I need a notary for the Notice of Claim for Damages?
- No. The document has no notary block; the claimant signs and dates it and declares the information true and correct to the best of their knowledge and belief.
- How do I submit the Notice of Claim for Damages?
- File it with the City Clerk within 180 days of the incident. Mail it to P.O. Box 2059, Prescott, AZ 86302, or hand-deliver it to 201 S. Cortez, Prescott, AZ 86303.
- What information does the notice ask for?
- It asks for claimant and incident details, the reason you believe the City is responsible, damage amounts, supporting documents, witness information, and the amount for which the claim can be settled.
- What supporting documents should I include?
- The form asks for supporting documentation and, when available, photographs. It also identifies receipts, invoices, estimates, medical bills, and records as attachments for relevant damage claims.
Need something notarized?
This Notice of Claim for Damages doesn’t need a notary — but if you have another Prescott form that does, a commissioned online notary can help.