Lake Elsinore, CA · Riverside County

No notary required

Filing a Claim for Damages

This claim form helps people seeking compensation for damage or injury present their claim to the City of Lake Elsinore.

What this form is

Use this form to present a claim for damages to the City of Lake Elsinore. The instructions say claims for personal injury, wrongful death, property damage, and crop damage generally must be presented within six months of the incident. The form asks for claimant details, incident information, a description of the claim and its amount, witness information, and the claimant’s signature; supporting documents may be attached.

Who needs it

People seeking compensation from the City of Lake Elsinore for property damage, personal injury, wrongful death, or crop damage can use this claim form.

How to submit it

Mail or deliver the completed claim form and supporting documents to the City Clerk, City of Lake Elsinore, 130 South Main Street, Lake Elsinore, CA 92530.

About notarization

This document is signed without a notary; it mentions no notarized or sworn attachment, and instructs the claimant to sign the claim form.

How to submit this form

  1. 1

    Download The Claim Form

    Download the City of Lake Elsinore claim form and its instructions.

  2. 2

    Complete The Form

    Type or print the requested information in black or blue ink, including details about the incident and the amount claimed.

  3. 3

    Gather Supporting Documents

    Attach relevant supporting documents, such as repair bills, damage estimates, bills, receipts, and cost estimates.

  4. 4

    Sign And Submit

    Sign the claim form and mail or deliver it with supporting documents to the City Clerk at the address provided.

Frequently asked questions

Do I need a notary for the Lake Elsinore claim form?
No. The document is signed without a notary and mentions no notarized or sworn attachment; the instructions tell the claimant to sign the claim form.
How do I submit the claim form?
Mail or deliver the completed form and supporting documents to the City Clerk at 130 South Main Street, Lake Elsinore, CA 92530.
What information does the claim form ask for?
It asks for claimant contact details, incident date and location, damage or injury information, the claim amount, liability details, witness information, and a signature.
What supporting documents should I include?
The instructions suggest attaching supporting records such as repair bills, damage estimates, bills, payment receipts, and cost estimates, as applicable.

Need something notarized?

This Filing a Claim for Damages doesn’t need a notary — but if you have another Lake Elsinore form that does, a commissioned online notary can help.