Monterey Park, CA · Los Angeles County
Claim for Damages
This form lets people submit a claim to the City of Monterey Park for personal injury or property damage they say the city caused.
What this form is
Use this form to file a claim against the City of Monterey Park for injury or damage to personal property. It asks for claimant and incident details, descriptions of injuries or property damage, claimed costs, supporting documents, and loss estimates; the instructions request at least two estimates. The form states that claims for injury or personal property damage must be filed within six months, while real property damage claims must be filed within one year.
Who needs it
A person seeking damages from the City of Monterey Park for an injury or property damage may use this form to submit a claim.
How to submit it
Mail or deliver the original and one copy to the City Clerk’s Office, 320 West Newmark Ave, Monterey Park, CA 91754-2896, or email [email protected].
About notarization
This document is signed without a notary; the claimant signs and dates it and swears or affirms the statements are true under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the City of Monterey Park Claim for Damages form.
- 2
Complete The Claim
Fill out the form in its entirety and provide as much detail as possible about the claimant, incident, injuries, property damage, and claimed amounts.
- 3
Gather Supporting Documents
Include copies of documentation supporting the claim and at least two loss estimates. Identify any additional pages with your name, occurrence date, and question numbers.
- 4
Sign And Submit
Sign and date the form, then mail or deliver the original and one copy to the City Clerk’s Office, or email it to [email protected].
Frequently asked questions
- Who can use the Claim for Damages form?
- People seeking damages from the City of Monterey Park for personal injury or property damage can use this form to provide claim and incident details.
- Do I need a notary for the Claim for Damages form?
- No. The form has no notary block; the claimant signs and dates it and swears or affirms the statements are true under penalty of perjury.
- How do I submit the Claim for Damages form?
- Mail or deliver the original and one copy to the City Clerk’s Office at 320 West Newmark Ave, Monterey Park, CA 91754-2896, or email [email protected].
- What documents should I include with my claim?
- The instructions ask for supporting documentation and loss estimates, with a minimum of two estimates. Attach additional pages if needed and identify the question numbers they address.
Need something notarized?
This Claim for Damages doesn’t need a notary — but if you have another Monterey Park form that does, a commissioned online notary can help.