What is the Mariposa County Claim Form for?

It lets a claimant present a claim against Mariposa County involving personal injury, property damage, or a contract-related matter.

What information does the claim form request?

It requests claimant contact details, incident facts and location, known public employees involved, injury or damage information, and itemized current and estimated future damages.

Do I need a notary for the Mariposa County Claim Form?

No. The form calls for a signature and date but does not require notarization; it identifies no attachment or related step that must be notarized or sworn.

How do I submit the Mariposa County Claim Form?

Return the completed form to the Clerk of the Board at 5100 Bullion St, PO Box 784, Mariposa, CA 95338.

Mariposa County, CA · Mariposa County

No notary required

Claim Form for Personal Injury or Property Damage

Mariposa County residents and others can use this form to submit a claim to the county for personal injury, property damage, or a contract-related matter.

At a glance

Issued by: City of Mariposa County · Mariposa County, Mariposa County, California
Notarization: Not required: file this form without a notary.
Official source: mariposacounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to present a claim against Mariposa County for personal injury, property damage, or a contract-related matter. It asks for claimant contact information, incident details, known public employees involved, and current and estimated future damages. The form also requests itemized costs and three repair estimates for specific property damages, and notes that submitted claims become public records.

Who needs it

Anyone presenting a claim to Mariposa County for personal injury, property damage, or a contract-related matter can complete this form.

How to submit it

Return the completed form to the Clerk of the Board, 5100 Bullion St, PO Box 784, Mariposa, CA 95338.

About notarization

This claim is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Claim Form
Download the Mariposa County Claim Form PDF.
2
Complete the Claim Details
Provide claimant contact information, incident details, and information about injuries or property damage.
3
Gather Damage Information
Itemize damages and include three repair estimates for specific property damages, as requested on the form.
4
Sign and Return the Form
Date and sign the form, then return it to the Clerk of the Board at the address listed.

Frequently asked questions

What is the Mariposa County Claim Form for?: It lets a claimant present a claim against Mariposa County involving personal injury, property damage, or a contract-related matter.
What information does the claim form request?: It requests claimant contact details, incident facts and location, known public employees involved, injury or damage information, and itemized current and estimated future damages.
Do I need a notary for the Mariposa County Claim Form?: No. The form calls for a signature and date but does not require notarization; it identifies no attachment or related step that must be notarized or sworn.
How do I submit the Mariposa County Claim Form?: Return the completed form to the Clerk of the Board at 5100 Bullion St, PO Box 784, Mariposa, CA 95338.

Need something notarized?

This Claim Form for Personal Injury or Property Damage doesn’t need a notary, but if you have another Mariposa County form that does, a commissioned online notary can help.