Signal Hill, CA · Los Angeles County
Claim Against the City
This claim form is for people seeking damages for personal injury or personal property loss they say was caused by the City of Signal Hill.
What this form is
Use this form to submit a claim against the City of Signal Hill for damage to a person or personal property. The form says a claim must be filed within 180 days after the incident or event. It requests claimant and incident details, information about injuries or damaged property, the amount claimed, supporting bills or estimates, and witness or medical provider names.
Who needs it
A person seeking damages for personal injury or personal property loss allegedly caused by the City of Signal Hill or its employees should complete this claim form.
How to submit it
Mail or hand-deliver the completed claim to the Director of Finance, City of Signal Hill, 2175 Cherry Avenue, Signal Hill, California, 90755.
About notarization
This document is signed without a notary; the claimant certifies the statements are true and correct under penalty of perjury, then signs and dates the claim.
How to submit this form
- 1
Download The Claim Form
Download the Claim Against the City form.
- 2
Complete The Claim
Provide claimant details, incident information, injury or property damage details, and the amount claimed.
- 3
Gather Supporting Documents
Include copies of bills, invoices, estimates, or other additional paper used to provide claim information.
- 4
Sign And Date The Claim
Sign and date the claim and certify that its statements are true and correct under penalty of perjury.
- 5
Submit To The City
Mail or hand-deliver the completed claim to the Director of Finance at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Claim Against the City?
- No. The claimant signs and certifies the statements under penalty of perjury; the form does not require a notary.
- How do I submit the Claim Against the City?
- Mail or hand-deliver the completed claim to the Director of Finance at 2175 Cherry Avenue, Signal Hill, California, 90755.
- What information does the claim form ask for?
- It asks for claimant and incident details, information about injury or property damage, the amount claimed, supporting bills or estimates, and witness or medical provider names.
- When must I file the claim?
- The form says the claim must be filed with the Director of Finance within 180 days after the incident or event.
Need something notarized?
This Claim Against the City doesn’t need a notary — but if you have another Signal Hill form that does, a commissioned online notary can help.