Corte Madera, CA · Marin County
Claim Against the Town
Claimants use this form to report an injury, damage, or loss they attribute to an act or omission by the Town of Corte Madera.
What this form is
The form lets a claimant describe an occurrence or transaction and explain the act or omission they believe caused injury, damage, or loss. It asks for contact details, incident information, claimed damages and supporting bills or estimates, witnesses, and details about injuries or damaged property. The claimant certifies the information under penalty of perjury and signs the form.
Who needs it
A person seeking reimbursement for injury, damage, or loss they attribute to an act or omission by the Town of Corte Madera can file this claim.
How to submit it
Mail the completed form to the Town of Corte Madera, Attn: Lorena Barrera, Town Clerk, 300 Tamalpais Drive, Corte Madera, CA 94925, or email it to [email protected].
About notarization
This document is signed without a notary; the claimant certifies the statements under penalty of perjury and signs the form.
How to submit this form
- 1
Download the Form
Download the Claim Against the Town PDF.
- 2
Complete the Claim
Enter your contact information, occurrence details, claimed damages, and information about injuries, property, witnesses, and other relevant details.
- 3
Gather Supporting Papers
Attach supporting bills, receipts, or cost estimates for the claimed damages.
- 4
Sign and Submit
Sign the claim, then mail it to the Town Clerk or email it to [email protected].
Frequently asked questions
- What is the Claim Against the Town form for?
- It lets a claimant report an injury, damage, or loss they attribute to an act or omission by the Town of Corte Madera and provide supporting information.
- Do I need a notary for the Claim Against the Town form?
- No. The claimant signs without a notary and certifies the statements under penalty of perjury.
- How do I submit the claim?
- Mail the completed form to the Town Clerk at 300 Tamalpais Drive, Corte Madera, CA 94925, or email it to [email protected].
Need something notarized?
This Claim Against the Town doesn’t need a notary — but if you have another Corte Madera form that does, a commissioned online notary can help.