What information does the Notice of Claim ask for?

It asks for claimant contact details, the date and location of the loss, an incident description, damages, the basis for the claim, and witness information. It also requests supporting documents such as receipts or repair estimates.

When does the City of Brawley say to present a claim?

The instructions say claims for injury or personal property damage must be presented within six months from the date of loss. Claims for any other loss must be presented within one year.

How do I submit the Notice of Claim?

Present it to the Brawley City Clerk at 383 Main Street, Brawley City Hall. The form has a space for the City Clerk to record the filing date and time.

Do I need a notary for the Notice of Claim?

No. The claimant signs and dates a declaration under penalty of perjury. The form does not identify a notarized attachment or related step.

Brawley, CA · Imperial County

No notary required

Notice of Claim Against the City of Brawley

This form lets a person submit a claim to the City of Brawley for injury, personal property damage, or another loss.

What this form is

Use this form to present a claim against the City of Brawley and describe the loss, its location, and why you believe the City or a City employee caused it. The instructions say injury and personal property damage claims must be presented within six months of the loss, and claims for other losses within one year. It asks for claimant details, damage information, supporting documentation, and a signed declaration.

Who needs it

A person claiming injury, personal property damage, or another loss allegedly caused by the City of Brawley or a City employee may use this form.

How to submit it

Present the claim to the Brawley City Clerk at 383 Main Street, Brawley City Hall. The form includes a City Clerk filing date and time field.

About notarization

This claim is signed and dated without a notary; it requires a declaration under penalty of perjury but identifies no notarized attachment or related step.

How to submit this form

1
Download The Form
Download the Notice of Claim Against the City of Brawley.
2
Complete The Claim
Answer the form items with information about the claimant, loss, damages, and the basis for the claim.
3
Gather Supporting Documents
Attach copies of receipts, repair estimates, bills, invoices, or other documentation to support the loss.
4
Sign And Date
Sign and date the claimant declaration under penalty of perjury.
5
Present The Claim
Present the claim to the Brawley City Clerk at 383 Main Street, Brawley City Hall.

Frequently asked questions

What information does the Notice of Claim ask for?: It asks for claimant contact details, the date and location of the loss, an incident description, damages, the basis for the claim, and witness information. It also requests supporting documents such as receipts or repair estimates.
When does the City of Brawley say to present a claim?: The instructions say claims for injury or personal property damage must be presented within six months from the date of loss. Claims for any other loss must be presented within one year.
How do I submit the Notice of Claim?: Present it to the Brawley City Clerk at 383 Main Street, Brawley City Hall. The form has a space for the City Clerk to record the filing date and time.
Do I need a notary for the Notice of Claim?: No. The claimant signs and dates a declaration under penalty of perjury. The form does not identify a notarized attachment or related step.

Need something notarized?

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