Do I need a notary for the Claim for Damages form?

No. The claimant or person filing on their behalf signs and dates the form. A contract or other supporting document may need to be attached for certain claims, but the form does not require notarization.

How do I submit the Claim for Damages form?

File it with the City Clerk’s Office at 110 E. La Habra Blvd., La Habra, CA 90631. The form instructs claimants to sign it on page two.

What information does the form ask for?

It asks for claimant contact information, when and where the damage or injury occurred, incident details, the reason the city is considered responsible, damages claimed, and information about witnesses, doctors, and hospitals.

La Habra, CA · Orange County

No notary required

Claim For Damages To Person Or Property

This claim form is for people seeking damages from the City of La Habra for injury, property damage, or certain contract and other claims.

What this form is

Use this form to present a claim for injury, damage to personal or real property, or payment or damages arising from a contract or another non-tort claim. The form asks for claimant contact information, details about the incident and claimed damages, and the claimant’s signature. It includes filing time limits and requests a copy of the contract or supporting documents for contract and other specified claims.

Who needs it

A person seeking damages from the City of La Habra for injury, property damage, or a contract or other non-tort claim should complete and file this form.

How to submit it

File the claim with the City Clerk’s Office at 110 E. La Habra Blvd., La Habra, CA 90631.

About notarization

This document is signed without a notary; the claimant or person filing on their behalf signs and dates it, and any contract documents are attachments, not notarized steps.

How to submit this form

1
Download The Form
Download the Claim for Damages form PDF.
2
Complete The Claim
Read the instructions and provide the requested claimant, incident, damage, and contact information.
3
Gather Attachments
For a contract or other specified claim, attach a copy of the contract or other documents on which the claim is based. Sign each separate sheet.
4
Sign And Submit
Sign and date page two, then file the claim with the City Clerk’s Office at 110 E. La Habra Blvd., La Habra, CA 90631.

Frequently asked questions

What is the Claim for Damages form used for?: It presents a claim against the City of La Habra for injury, damage to personal or real property, or payment or damages involving a contract or another non-tort claim.
Do I need a notary for the Claim for Damages form?: No. The claimant or person filing on their behalf signs and dates the form. A contract or other supporting document may need to be attached for certain claims, but the form does not require notarization.
How do I submit the Claim for Damages form?: File it with the City Clerk’s Office at 110 E. La Habra Blvd., La Habra, CA 90631. The form instructs claimants to sign it on page two.
What information does the form ask for?: It asks for claimant contact information, when and where the damage or injury occurred, incident details, the reason the city is considered responsible, damages claimed, and information about witnesses, doctors, and hospitals.

Need something notarized?

This Claim For Damages To Person Or Property doesn’t need a notary — but if you have another La Habra form that does, a commissioned online notary can help.