Marina, CA · Monterey County
Claim Form
People presenting a claim to the City of Marina use this form to describe the incident, alleged loss or injury, and basis for the claim.
What this form is
Use this form to present a claim to the City of Marina and provide information needed for the city’s claims handling process. It asks for claimant and notice contact details, the incident date and location, circumstances, supporting facts, and a description of the loss. It also requests claim amounts in certain cases, and includes optional insurance and representative information.
Who needs it
Anyone presenting a claim to the City of Marina should complete this form, except as provided in the Government Code sections identified on the form.
How to submit it
Submit the completed form by personal delivery or United States mail, postage paid, to the City of Marina, Attention: Risk Management Department, 211 Hillcrest Avenue, Marina, CA 93933.
About notarization
This form is signed without a notary; no notarized attachment or related step is identified, so the claimant or representative signs and dates it.
How to submit this form
- 1
Download The Claim Form
Download the City of Marina Claim Form.
- 2
Complete The Form
Provide claimant and notice contact details, incident information, and details about the claim; complete optional sections if applicable.
- 3
Gather Any Additional Sheets
If more space is needed for required information, attach sheets and note your name, date of claim, and City of Marina.
- 4
Submit The Form
Deliver it in person or mail it postage paid to the Risk Management Department at 211 Hillcrest Avenue, Marina, CA 93933.
Frequently asked questions
- What is the Marina Claim Form used for?
- It is used to present a claim to the City of Marina. The form requests details about the incident, the alleged loss or injury, and why the claimant believes the city is responsible.
- Who should complete this claim form?
- A person presenting a claim to the City of Marina should use the form, except as provided in the Government Code sections identified on the form.
- Do I need a notary for the Marina Claim Form?
- No. This form is signed without a notary; no notarized attachment or related step is identified, so the claimant or representative signs and dates it.
- How do I submit the Marina Claim Form?
- Deliver it in person or mail it postage paid to the City of Marina, Attention: Risk Management Department, 211 Hillcrest Avenue, Marina, CA 93933.
Need something notarized?
This Claim Form doesn’t need a notary — but if you have another Marina form that does, a commissioned online notary can help.