Rush Notary

Willows, CA · Glenn County

No notary required

Claim Against the City of Willows

The Claim Against the City of Willows form lets a claimant report an incident and present a claim for injury, damage, or loss to the City.

What this form is

Use this form to present a claim against the City of Willows involving an accident, incident, or transaction that caused injury, damage, or loss. It asks for claimant and notice-contact details, when and where the event occurred, its circumstances, the injury or loss, any known public employee involved, and the claimed amount with its calculation basis when applicable.

Who needs it

A person seeking to present a claim to the City for injury, damage, or loss from an accident, incident, or transaction should complete this form.

How to submit it

Deliver or mail the original claim to the Finance Director, City of Willows, 201 North Lassen St., Willows, CA 95988.

About notarization

This document is signed without a notary; the claimant or agent just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Claim Against the City form.

  2. 2

    Complete The Claim

    Fill in the claimant and notice-address details, event information, description of the injury, damage, or loss, and applicable claim amount details.

  3. 3

    Sign And Date

    Have the claimant or agent sign and date the form.

  4. 4

    Submit The Original

    Deliver or mail the original to the Finance Director, City of Willows, 201 North Lassen St., Willows, CA 95988.

Frequently asked questions

What is the Claim Against the City form for?
It lets a claimant present a claim to the City of Willows for injury, damage, or loss related to an accident, incident, or transaction.
What information does the claim form ask for?
It asks for claimant and notice-address details, event date and location, a description of what happened and the loss, any known public employee involved, and the amount claimed and its calculation basis when applicable.
How do I submit the claim form?
Deliver or mail the original claim to the Finance Director, City of Willows, at 201 North Lassen St., Willows, CA 95988.
Do I need a notary for the Claim Against the City form?
No. The document is signed without a notary; the claimant or agent just signs and dates it.

Need something notarized?

This Claim Against the City of Willows doesn’t need a notary — but if you have another Willows form that does, a commissioned online notary can help.