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

No. The form requires the claimant or their representative to sign and date it, but it does not specify a notary or a notarized attachment.

How do I submit the claim form?

Deliver it personally to the City Clerk’s Office or mail it to the City Clerk’s Office at P.O. Box 507, 9770 Culver Boulevard, Culver City, CA 90232-0507.

When must I file a claim?

The form states that death, injury, and personal property claims must be delivered or postmarked within six months of the occurrence; real property claims must be delivered or postmarked within one year.

Culver City, CA · Los Angeles County

No notary required

Claim For Damages To Person Or Property

This claim form is for people seeking compensation from Culver City for a death, injury, or damage to personal or real property.

What this form is

Use this form to present a claim to Culver City for a death, personal injury, or damage to personal or real property. It asks for claimant contact details, when and where the event occurred, how it happened, why the City may be responsible, damage and expense amounts, and information about witnesses, doctors, hospitals, and any police report. The form also includes a diagram for locating an accident.

Who needs it

A person seeking compensation from Culver City for a death, injury, or property damage should complete and file this claim form.

How to submit it

Deliver the claim personally to the City Clerk’s Office or mail it to City Clerk’s Office, P.O. Box 507, 9770 Culver Boulevard, Culver City, CA 90232-0507. The form gives a six-month deadline for death, injury, or personal property claims and one year for real property claims.

About notarization

This document is signed and dated without a notary; the claimant signs the form and dates the signature, with no notarized or sworn attachment specified.

How to submit this form

1
Download The Form
Download the Claim for Damages to Person or Property form.
2
Complete The Claim
Fill in the claimant, event, responsibility, damage, and expense details requested on the form.
3
Gather Supporting Details
Add any needed separate sheets, sign each sheet, and complete the accident diagram or attach a signed diagram if needed.
4
Sign And Submit
Sign and date page 2, then deliver the claim personally or mail it to the City Clerk’s Office by the applicable deadline.

Frequently asked questions

Do I need a notary for the Claim for Damages to Person or Property?: No. The form requires the claimant or their representative to sign and date it, but it does not specify a notary or a notarized attachment.
How do I submit the claim form?: Deliver it personally to the City Clerk’s Office or mail it to the City Clerk’s Office at P.O. Box 507, 9770 Culver Boulevard, Culver City, CA 90232-0507.
What information does the claim form ask for?: It asks for claimant contact details, event information, the reason the City may be responsible, damage and expense amounts, and details about witnesses, medical care, and any police report.
When must I file a claim?: The form states that death, injury, and personal property claims must be delivered or postmarked within six months of the occurrence; real property claims must be delivered or postmarked within one year.

Need something notarized?

This Claim For Damages To Person Or Property doesn’t need a notary — but if you have another Culver City form that does, a commissioned online notary can help.