Do I need a notary for the Claim for Damages?

No. The form directs the claimant or signer to sign and date it, without a notary. Attach medical bills and expenses, and repair or replacement estimates or bills.

How do I submit the Claim for Damages?

File the original and one copy by mail or personal delivery with the Fresno County Clerk of the Board at the Hall of Records, Room 301, 2281 Tulare Street, Fresno, CA 93721. Do not email it.

What information does the form request?

It asks for claimant details, incident date and location, witnesses, county employees involved, the cause and extent of the injury or damage, and the total amount claimed.

What should I attach to the claim?

Attach any bills for medical treatment and expenses, and any estimates or bills for repair or replacement of damaged personal property.

Fresno County, CA · Fresno County

No notary required

Claim for Damages

Fresno County’s Claim for Damages form is for people seeking compensation for injury or damage allegedly caused by the county or its employees.

At a glance

Issued by: City of Fresno County · Fresno County, Fresno County, California
Notarization: Not required: file this form without a notary.
Official source: fresnocountyca.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to present a claim to Fresno County for injury or damage allegedly caused by the county or its employees. It asks for claimant contact details, when and where the incident occurred, witnesses, involved county employees, what happened, the injuries or damages, and the amount claimed. Attach medical bills and expenses, plus estimates or bills for repairing or replacing damaged personal property.

Who needs it

A person seeking compensation from Fresno County for injury or damage allegedly caused by the county or its employees needs this form.

How to submit it

File the original and one copy by mail or personal delivery with the Fresno County Clerk of the Board, Hall of Records, Room 301, 2281 Tulare Street, Fresno, CA 93721; do not email it.

About notarization

This claim is signed and dated without a notary; attach medical bills and expenses, and repair or replacement estimates or bills, with no notarized attachment specified.

How to submit this form

1
Download the Form
Download the Fresno County Claim for Damages form.
2
Complete the Claim
Fill in the claimant, incident, witness, injury or damage, and amount claimed details requested on the form.
3
Gather Attachments
Attach medical treatment and expense bills, and estimates or bills for repair or replacement of damaged personal property.
4
Sign and Submit
Sign and date the form, then file the original and one copy by mail or personal delivery with the County Clerk of the Board. Do not email it.

Frequently asked questions

Do I need a notary for the Claim for Damages?: No. The form directs the claimant or signer to sign and date it, without a notary. Attach medical bills and expenses, and repair or replacement estimates or bills.
How do I submit the Claim for Damages?: File the original and one copy by mail or personal delivery with the Fresno County Clerk of the Board at the Hall of Records, Room 301, 2281 Tulare Street, Fresno, CA 93721. Do not email it.
What information does the form request?: It asks for claimant details, incident date and location, witnesses, county employees involved, the cause and extent of the injury or damage, and the total amount claimed.
What should I attach to the claim?: Attach any bills for medical treatment and expenses, and any estimates or bills for repair or replacement of damaged personal property.

Need something notarized?

This Claim for Damages doesn’t need a notary, but if you have another Fresno County form that does, a commissioned online notary can help.