Williams, CA · Colusa County
Claim Form
This form lets people submit a claim to the City of Williams for personal injury, property damage, or another loss allegedly caused by city action or inaction.
What this form is
Use this form to present a claim against the City of Williams for personal injury, property damage, or another type of loss. It asks for claimant and incident details, the city employee action or inaction involved, witnesses, and the amount claimed. The form notes that supporting documents must be attached and that automobile accident claims require proof of insurance or a statement that no coverage was in effect.
Who needs it
Anyone submitting a claim against the City of Williams for personal injury, property damage, or another loss should complete this form.
How to submit it
File the original claim and a copy of all attachments with the City Clerk by mail or hand delivery at City of Williams, ATTN: City Clerk, PO Box 310, Williams, CA 95987.
About notarization
This claim is signed and dated without a notary; the instructions identify no notarized or sworn attachment, so the claimant just signs and dates it.
How to submit this form
- 1
Download The Form
Download the City of Williams Claim Form.
- 2
Complete And Sign
Fill in the claimant and incident information, describe the loss, and sign and date the form.
- 3
Gather Attachments
Include copies of supporting documents for amounts claimed; for an automobile accident, attach proof of insurance or indicate that no coverage was in effect.
- 4
Submit To The City Clerk
File the original and a copy of all attachments by mail or hand delivery at the address stated in the instructions.
Frequently asked questions
- What is the Williams Claim Form for?
- It is used to present a claim against the City of Williams for personal injury, property damage, or another loss allegedly caused by city action or inaction.
- How do I submit the Williams Claim Form?
- File the original and a copy of all attachments with the City Clerk by mail or hand delivery at City of Williams, ATTN: City Clerk, PO Box 310, Williams, CA 95987.
- Do I need a notary for the Williams Claim Form?
- No. The claim is signed and dated without a notary, and the instructions identify no notarized or sworn attachment.
- What attachments does the claim form require?
- Attach copies of supporting documentation for the amounts claimed. If the claim relates to an automobile accident, attach proof of insurance, or check the form's box if there was no coverage.