Malibu, CA · Los Angeles County
Claim Form
The Claim Form lets people submit a claim against the City of Malibu for personal injury, property damage, or another type of loss.
What this form is
Use this form to present a claim against the City of Malibu for personal injury, property damage, or another loss. It asks for details about the claimant, incident, injuries or damage, witnesses, involved city employees, and amount claimed. Include supporting documentation for the amounts claimed; automobile accident claims also require proof of insurance or a check indicating no coverage.
Who needs it
A person seeking to make a claim against the City of Malibu for personal injury, property damage, or another loss should complete and submit this form.
How to submit it
File the original and one identical copy with one copy of all attachments with the City Clerk at 23825 Stuart Ranch Road, Malibu, CA 90265. Retain one copy for your records.
About notarization
This form is signed and dated without a notary; the signer also attaches supporting documentation, and automobile accident claims require proof of insurance or a check indicating no coverage.
How to submit this form
- 1
Download the Claim Form
Download the City of Malibu Claim Form PDF.
- 2
Complete the Form
Fill in the claimant, incident, loss, witness, and claim amount details. Print clearly and sign and date the form.
- 3
Gather Attachments
Include copies of supporting documentation for the amounts claimed. For an automobile accident, attach proof of insurance or mark that no coverage was in effect.
- 4
Submit to the City Clerk
File the original and one identical copy, with one copy of all attachments, at 23825 Stuart Ranch Road, Malibu, CA 90265. Retain one copy.
Frequently asked questions
- What is the Malibu Claim Form used for?
- It is used to submit a claim against the City of Malibu for personal injury, property damage, or another type of loss. The form collects details about the incident and claimed amounts.
- How do I submit the Malibu Claim Form?
- File the original and one identical copy of the form, plus one copy of all attachments, with the City Clerk at 23825 Stuart Ranch Road, Malibu, CA 90265. Keep one copy for your records.
- Do I need a notary for the Malibu Claim Form?
- No. Sign and date the form without a notary. Attach supporting documentation for the amounts claimed; for an automobile accident, attach proof of insurance or check the box indicating no coverage.
- What attachments does the Malibu Claim Form require?
- Attach copies of supporting documentation for the amounts claimed. If the claim concerns an automobile accident, attach proof of insurance, unless there was no insurance coverage in effect at the time.
Need something notarized?
This Claim Form doesn’t need a notary — but if you have another Malibu form that does, a commissioned online notary can help.