Do I need a notary for the Gardena claim form?

No. The form does not require a notary; the claimant signs and dates it and certifies the statements are true and correct under penalty of perjury.

How do I submit the claim form?

Mail or deliver the completed form to the City of Gardena City Clerk at 1700 W. 162nd Street, Gardena, California 90247.

What information does the form request?

It asks for claimant contact details, when and where the incident happened, what caused the alleged loss, injury or damage details, the amount claimed, and information for the claim investigation.

Gardena, CA · Los Angeles County

No notary required

Claim Against the City of Gardena (For Damages, Injury or Loss)

This claim form lets people seek compensation for damage, injury, or loss they attribute to the City of Gardena or its employees.

What this form is

Use this form to submit a claim for damage, injury, or loss attributed to the City of Gardena or its employees. The document says the claim must be filed with the City Clerk within six months after the incident or event. It asks for claimant details, incident circumstances and location, injury or damage information, the amount claimed, and information that may help investigate the claim.

Who needs it

A person claiming damage, injury, or loss caused by the City of Gardena or its employees can complete and file this form with the City Clerk.

How to submit it

Mail or deliver the completed claim to City of Gardena, City Clerk, 1700 W. 162nd Street, Gardena, California 90247.

About notarization

This document is signed without a notary; the claimant dates and signs it and certifies the statements are true and correct under penalty of perjury.

How to submit this form

1
Download The Claim Form
Download the City of Gardena claim form for damages, injury, or loss.
2
Complete The Form
Enter claimant details, incident information, the amount claimed, and any information that may help investigate the claim.
3
Review And Sign
Review your statements, then date and sign the form to certify them as true and correct under penalty of perjury.
4
Submit To The City Clerk
Mail or deliver the completed form to the City of Gardena City Clerk at the address listed on the form.

Frequently asked questions

Do I need a notary for the Gardena claim form?: No. The form does not require a notary; the claimant signs and dates it and certifies the statements are true and correct under penalty of perjury.
How do I submit the claim form?: Mail or deliver the completed form to the City of Gardena City Clerk at 1700 W. 162nd Street, Gardena, California 90247.
When must I file the claim?: The form states that a claim must be filed with the City Clerk within six months after the incident or event occurred.
What information does the form request?: It asks for claimant contact details, when and where the incident happened, what caused the alleged loss, injury or damage details, the amount claimed, and information for the claim investigation.

Need something notarized?

This Claim Against the City of Gardena (For Damages, Injury or Loss) doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.