What is the Claim for Damages to Person or Property?

It is a city claim form for reporting personal injury or property damage and stating why you believe Rancho Palos Verdes is responsible.

Who should file this claim?

A person claiming injury or property damage for which they believe Rancho Palos Verdes is responsible should complete and file the form.

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

No. The claim requires a signature and date, but does not require a notary. The form does not state that any attachment or related step must be notarized or sworn.

How do I submit the Claim for Damages to Person or Property?

Sign the form and file it with the City Clerk’s Office at 30940 Hawthorne Blvd., Rancho Palos Verdes, CA 90275.

Rancho Palos Verdes, CA · Los Angeles County

No notary required

Claim for Damages to Person or Property

This claim form lets a person seek compensation from Rancho Palos Verdes for injury or property damage they believe the city caused.

What this form is

Use this form to present a claim to Rancho Palos Verdes for personal injury, personal property damage, or real property damage. It asks for claimant contact details, incident circumstances and location, injuries or losses, witnesses, and the amount claimed; include a diagram and sign the form. The form states that personal injury and personal property claims must be filed within six months, and real property claims within one year of the occurrence.

Who needs it

A person claiming the city is responsible for injury or property damage should complete and file this form with the City Clerk.

How to submit it

File the signed claim with the City Clerk’s Office, City of Rancho Palos Verdes, 30940 Hawthorne Blvd., Rancho Palos Verdes, CA 90275.

About notarization

This claim is signed and dated without a notary; the form requires the claimant or representative to sign, and no notarized attachment or sworn step is stated.

How to submit this form

1
Download the Claim Form
Download the Claim for Damages to Person or Property PDF.
2
Complete the Form
Provide claimant and incident details, describe the injury or damage, and state the amount claimed.
3
Gather Attachments
Use the diagram to locate the incident; attach and sign separate sheets if needed to give full details.
4
Sign and Submit
Sign and date the claim, then file it with the City Clerk’s Office at the address listed on the form.

Frequently asked questions

What is the Claim for Damages to Person or Property?: It is a city claim form for reporting personal injury or property damage and stating why you believe Rancho Palos Verdes is responsible.
Who should file this claim?: A person claiming injury or property damage for which they believe Rancho Palos Verdes is responsible should complete and file the form.
Do I need a notary for the Claim for Damages to Person or Property?: No. The claim requires a signature and date, but does not require a notary. The form does not state that any attachment or related step must be notarized or sworn.
How do I submit the Claim for Damages to Person or Property?: Sign the form and file it with the City Clerk’s Office at 30940 Hawthorne Blvd., Rancho Palos Verdes, CA 90275.

Need something notarized?

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