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

No. The claimant signs and dates the claim without a notary. Any separate sheets or replacement diagram needed to explain the claim must also be signed.

What information does the claim request?

It requests claimant contact information, incident date and location, details of what happened, the claimed amount and its calculation, and information about witnesses, medical care, or an investigation.

When must I file a damage or injury claim?

The instructions state that claims for death, personal injury, or personal property damage must be filed within six months after the occurrence. Real property damage claims must be filed within one year.

Irwindale, CA · Los Angeles County

No notary required

Claim for Damages to Person or Property

People seeking compensation for personal injury or property damage submit this claim to the City of Irwindale with details and supporting information.

What this form is

This form allows a claimant to describe an injury or property damage and explain why they believe the City of Irwindale is responsible. It asks for contact details, the date and location of the incident, a description of what happened, claimed losses, and information about witnesses, medical care, or an investigation. The instructions state that personal injury and personal property claims must be filed within six months, and real property claims within one year.

Who needs it

Anyone claiming that the City of Irwindale is responsible for death, injury, or damage to personal or real property should complete and file this claim.

How to submit it

File the signed claim with the City Clerk at 5050 N. Irwindale Ave., Irwindale, CA 91706. Attach and sign separate sheets if needed to provide full details.

About notarization

This claim is signed and dated without a notary; if needed, attach a separate signed sheet or signed diagram, and the form identifies no notarized attachment.

How to submit this form

1
Download The Claim
Download the City of Irwindale Claim for Damages to Person or Property PDF.
2
Complete The Claim
Provide the requested claimant, incident, damage or injury, loss, and witness information.
3
Gather And Sign Attachments
Attach and sign separate sheets if needed; include a signed diagram if the provided diagram does not fit the situation.
4
File With The City Clerk
Sign and date the claim, then file it with the City Clerk at 5050 N. Irwindale Ave., Irwindale, CA 91706.

Frequently asked questions

Do I need a notary for the Claim for Damages to Person or Property?: No. The claimant signs and dates the claim without a notary. Any separate sheets or replacement diagram needed to explain the claim must also be signed.
How do I submit the Claim for Damages to Person or Property?: File the signed claim with the City Clerk at 5050 N. Irwindale Ave., Irwindale, CA 91706. Attach and sign separate sheets if needed.
What information does the claim request?: It requests claimant contact information, incident date and location, details of what happened, the claimed amount and its calculation, and information about witnesses, medical care, or an investigation.
When must I file a damage or injury claim?: The instructions state that claims for death, personal injury, or personal property damage must be filed within six months after the occurrence. Real property damage claims must be filed within one year.

Need something notarized?

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