Do I need a notary for the Claim for Damages to Person or Property?

No. The form has no notary block and is signed and dated without a notary. The signer does declare under penalty of California law that the information is true and correct.

How do I submit the claim?

The form says to deliver or mail it to the Office of the City Clerk, 14403 E. Pacific Ave., Baldwin Park.

What information does the claim form ask for?

It asks for claimant details, information about the damage or injury, why the city is considered responsible, claimed damages, witnesses, and an accident diagram when applicable.

Does the form require a signature?

Yes. The form instructs the claimant or person filling it out on the claimant’s behalf to sign and date it, and provide their relationship to the claimant.

Baldwin Park, CA · Los Angeles County

No notary required

Claim for Damages to Person or Property

This form lets people submit a claim to the City of Baldwin Park for damage to real property or injury to a person or personal property.

What this form is

Use this form to present a claim to the City of Baldwin Park for injury to a person or personal property, or damage to real property. The form asks for claimant contact details, what happened and where, why the city is considered responsible, claimed damages, and witness information. It also provides a space for an accident diagram and requires the claimant or representative to sign and date the claim.

Who needs it

A person seeking damages from the City of Baldwin Park for injury to a person or personal property, or damage to real property, can use this form.

How to submit it

Deliver or mail the completed claim to the Office of the City Clerk, 14403 E. Pacific Ave., Baldwin Park, as directed on the form.

About notarization

This form is signed and dated without a notary; it includes the signer’s declaration under penalty of California law that the information is true and correct.

How to submit this form

1
Download The Form
Download the Claim for Damages to Person or Property PDF.
2
Complete The Claim
Answer each question, writing N/A if it does not apply. Describe the damage or injury and the amount claimed.
3
Add A Diagram If Needed
Complete the accident diagram as directed. If it does not fit the situation, attach a proper diagram signed by the claimant.
4
Sign And Date
Sign and date the claim, and provide the signer’s relationship to the claimant if applicable.
5
Deliver Or Mail The Claim
Deliver or mail it to the Office of the City Clerk, 14403 E. Pacific Ave., Baldwin Park.

Frequently asked questions

Do I need a notary for the Claim for Damages to Person or Property?: No. The form has no notary block and is signed and dated without a notary. The signer does declare under penalty of California law that the information is true and correct.
How do I submit the claim?: The form says to deliver or mail it to the Office of the City Clerk, 14403 E. Pacific Ave., Baldwin Park.
What information does the claim form ask for?: It asks for claimant details, information about the damage or injury, why the city is considered responsible, claimed damages, witnesses, and an accident diagram when applicable.
Does the form require a signature?: Yes. The form instructs the claimant or person filling it out on the claimant’s behalf to sign and date it, and provide their relationship to the claimant.

Need something notarized?

This Claim for Damages to Person or Property doesn’t need a notary — but if you have another Baldwin Park form that does, a commissioned online notary can help.