Do I need a notary for the Buena Park claim for damages?

No. The form has no notary block; the signer certifies the facts under penalty of perjury and signs and dates page 4.

How do I submit the claim for damages?

Mail or deliver the completed form to the City Clerk’s Office at 6650 Beach Blvd., Buena Park, CA 90622-5009.

What information does the claim form request?

It requests claimant and incident details, information about injuries or damage, witnesses and medical providers, and financial information with supporting documentation.

Buena Park, CA · Orange County

No notary required

Claim for Damages to Persons or Property

This claim form lets people seeking compensation for personal injury or property damage submit details about an incident to the City of Buena Park.

What this form is

Use this form to present a claim for death, personal injury, personal property damage, or real property damage to the City of Buena Park. The instructions state filing periods of six months for death, personal injury, or personal property claims and one year for real property claims. It asks for claimant and incident details, supporting financial information and documentation, and a diagram for accident claims.

Who needs it

A person seeking damages from the City for death, injury, or property damage should complete and file this claim form.

How to submit it

Mail or deliver the completed form to the City of Buena Park, City Clerk’s Office, 6650 Beach Blvd., Buena Park, CA 90622-5009.

About notarization

This document is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates page 4.

How to submit this form

1
Download the Claim Form
Download the City of Buena Park claim form.
2
Complete the Form
Read the instructions and complete the form, including claimant, incident, injury or damage, and financial details.
3
Gather Supporting Materials
Attach separate sheets if needed, copies of supporting documentation for amounts claimed, and complete the accident diagram when applicable.
4
Sign and Submit
Sign and date page 4, then mail or deliver the completed form to the City Clerk’s Office at the address shown.

Frequently asked questions

Do I need a notary for the Buena Park claim for damages?: No. The form has no notary block; the signer certifies the facts under penalty of perjury and signs and dates page 4.
How do I submit the claim for damages?: Mail or deliver the completed form to the City Clerk’s Office at 6650 Beach Blvd., Buena Park, CA 90622-5009.
What information does the claim form request?: It requests claimant and incident details, information about injuries or damage, witnesses and medical providers, and financial information with supporting documentation.
When does the form say a claim must be filed?: The instructions state six months for death, personal injury, or personal property claims, and one year for real property damage claims.

Need something notarized?

This Claim for Damages to Persons or Property doesn’t need a notary — but if you have another Buena Park form that does, a commissioned online notary can help.