South El Monte, CA · Los Angeles County

No notary required

Claim Form to Person or Property

This form lets a person submit a claim to the City of South El Monte for injury or damage to a person or property.

What this form is

Use this form to describe how, when, and where an injury or property damage occurred and what city act or omission you believe caused it. The instructions state filing time limits of six months for death, personal injury, or personal property claims and one year for real property damage claims. The form asks for claimant details, incident information, claimed damages and amounts, insurance payments, expenses, witnesses, and a diagram.

Who needs it

A person seeking to claim damages from the City of South El Monte for an injury or damage to personal or real property can complete and file this form.

How to submit it

File the completed, signed claim with the City Clerk, as the form instructs. The form does not provide a mailing address, email, or submission portal.

About notarization

This claim is signed and dated without a notary; sign any attached detail sheets and any separate diagram.

How to submit this form

  1. 1

    Download The Form

    Download the Claim Form to Person or Property.

  2. 2

    Complete The Claim

    Provide claimant details and describe when, where, and how the injury or damage occurred, along with claimed damages and amounts.

  3. 3

    Add Supporting Details

    Use the diagram as instructed and attach and sign separate sheets if needed to provide full details.

  4. 4

    Sign And File

    Sign and date the form, then file it with the City Clerk.

Frequently asked questions

What is the Claim Form to Person or Property for?
It allows a claimant to report an injury or property damage, explain what happened, describe the claimed damages and amounts, and provide supporting details.
Who should complete this claim form?
A person seeking to claim damages from the City of South El Monte for injury or damage to a person or property can complete the form.
Do I need a notary for the Claim Form to Person or Property?
No. The form calls for the claimant's signature and date, not notarization; sign any attached detail sheets and any separate diagram.
How do I submit the Claim Form to Person or Property?
File the completed, signed claim with the City Clerk. The form does not provide a mailing address, email, or submission portal.

Need something notarized?

This Claim Form to Person or Property doesn’t need a notary — but if you have another South El Monte form that does, a commissioned online notary can help.