El Cerrito, CA · Contra Costa County
Claim Against the City
Use this form to submit a claim to the City of El Cerrito for injury, property damage, or another loss you allege the City caused.
What this form is
The form lets a claimant describe an incident, explain why the City is responsible, and state the injury, damage, or loss and amount claimed. It asks for claimant contact information, incident details, any known public employees or witnesses, and supporting records. The city says claims for personal injury, wrongful death, property damage, and crop damage must generally be presented within six months of the incident.
Who needs it
A person or representative seeking to present a claim against the City of El Cerrito for an injury, damage, or loss should complete this form.
How to submit it
Mail, hand-deliver, or email the completed form to the City Clerk, City of El Cerrito, 10890 San Pablo Avenue, El Cerrito, CA 94530, or [email protected]. Emailed claims must include a scanned original or digital signature.
About notarization
This document is signed and dated without a notary; the claimant or the claimant’s attorney or representative signs the claim.
How to submit this form
- 1
Download the Form
Download the Claim Against the City PDF and open it in Adobe Reader to complete it electronically, or print it.
- 2
Complete Each Section
Fill in each section clearly with claimant, incident, loss, and amount information; the form warns an incomplete claim may be returned.
- 3
Gather Supporting Records
Attach copies of relevant invoices, receipts, estimates, photos, or other documentation supporting the claim.
- 4
Sign and Submit
Sign and date the claim, then mail, hand-deliver, or email it to the City Clerk using the contact details on the form.
Frequently asked questions
- Do I need a notary for the Claim Against the City?
- No. This form does not require a notary; the claimant or the claimant’s attorney or representative must sign and date it.
- How do I submit the Claim Against the City?
- Mail or hand-deliver it to the City Clerk at 10890 San Pablo Avenue, El Cerrito, CA 94530, or email it to [email protected]. Emailed claims need a scanned original or digital signature.
- What information and documents should I include?
- Describe the incident and loss, provide claimant details and any known employee or witness information, and attach supporting items such as invoices, receipts, estimates, or photos.
- When should I present a claim?
- The form says personal injury, wrongful death, property damage, and crop damage claims must generally be presented within six months. It describes a separate one-year period for other causes of action.
Need something notarized?
This Claim Against the City doesn’t need a notary — but if you have another El Cerrito form that does, a commissioned online notary can help.