Cudahy, CA · Los Angeles County

No notary required

Notice of Claim Against the City of Cudahy

Claimants use this form to notify the City of Cudahy of a claim involving personal injury, property damage, or another loss.

What this form is

This form gives the City information about an incident, the injury or loss, the amount sought, and the basis for the claim. The instructions state that claims for personal injury or damage to personal property must be presented within six months of the loss; claims for other losses must be presented within one year. Claimants may need to attach supporting records, such as bills, receipts, or repair estimates.

Who needs it

Anyone seeking recovery from the City of Cudahy for an injury, property damage, or another loss may use this form to present a claim.

How to submit it

Send the completed claim to the City Clerk’s Office, City of Cudahy, City Hall, 5220 Santa Ana Street, Cudahy, California 90201.

About notarization

This claim is signed without a notary; the claimant declares under penalty of perjury that its contents are true, and no notarized attachment is identified.

How to submit this form

  1. 1

    Download The Claim Form

    Download the City of Cudahy notice of claim PDF.

  2. 2

    Complete The Claim

    Answer the form’s questions about the claimant, incident, losses, amount sought, and basis for the claim.

  3. 3

    Gather Supporting Documents

    Attach relevant bills, repair estimates, receipts, or other information; the form requests two estimates for vehicle damage.

  4. 4

    Sign And Submit

    Sign and date the claim, then send it to the City Clerk’s Office at the Cudahy City Hall address listed on the form.

Frequently asked questions

What information does the Cudahy notice of claim request?
It asks for claimant contact information, incident details, losses, the amount sought, how that amount was calculated, and the basis for the claim.
What should I attach to my claim?
The form asks claimants to itemize and attach bills, repair estimates, receipts, or other supporting information. For vehicle damage, it requests two repair estimates.
Do I need a notary for the Cudahy notice of claim?
No. The claim is signed without a notary, but the claimant declares under penalty of perjury that its contents are true. No notarized attachment is identified.
How do I submit the Cudahy notice of claim?
Send the completed claim to the City Clerk’s Office at City Hall, 5220 Santa Ana Street, Cudahy, California 90201.

Need something notarized?

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