Inglewood, CA · Los Angeles County
Claim for Damages
This form lets a person submit a claim to the City of Inglewood for personal injury, property damage, or another loss allegedly caused by the city.
What this form is
Use this form to claim damages from the City of Inglewood for an injury, property damage, or another loss. The form says claims for death, personal injury, or personal property damage must be filed within six months of the occurrence, while real property damage claims must be filed within one year. It asks for claimant and incident details, the loss amount, supporting documents, and a signed declaration.
Who needs it
A person seeking damages from the City of Inglewood for an injury, property damage, or another loss can use this form to submit a claim.
How to submit it
File the completed claim with the City of Inglewood, City Clerk, 1 Manchester Blvd., P.O. Box 6500, Inglewood, CA 90312.
About notarization
This claim is signed without a notary; the claimant declares under penalty of perjury that the statements are true and correct.
How to submit this form
- 1
Download the Claim Form
Download the City of Inglewood Claim for Damages form.
- 2
Complete the Claim
Type or print legibly, provide the requested claimant, loss, and incident details, and sign and date the form.
- 3
Gather Supporting Documents
Include documents supporting the claimed amount and expenses; attach a contract copy if the claim alleges a contract breach.
- 4
File With the City Clerk
File the completed claim with the City Clerk at 1 Manchester Blvd., P.O. Box 6500, Inglewood, CA 90312.
Frequently asked questions
- Do I need a notary for the Inglewood Claim for Damages?
- No. The form is signed without a notary, but the claimant must declare under penalty of perjury that the statements are true and correct.
- How do I submit the Inglewood Claim for Damages?
- File the completed form with the City of Inglewood, City Clerk, 1 Manchester Blvd., P.O. Box 6500, Inglewood, CA 90312.
- What information does the claim form ask for?
- It asks for claimant details, the nature and amount of the loss, incident circumstances, witnesses, and information about any city employee or vehicle involved.
- What supporting documents should I provide?
- The form asks for documents supporting the claimed amount and related expenses, such as bills, receipts, or estimates. For a contract claim, attach a copy of the contract.
Need something notarized?
This Claim for Damages doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.