Grand Terrace, CA · San Bernardino County
Claim for Damages to Person or Property
This claim form is for people seeking damages from the City of Grand Terrace for injury, personal property damage, or real property damage.
What this form is
Use this form to present a claim to the City of Grand Terrace for injury or damage to person or property. It asks for claimant and incident details, a description of the injury or damage, why the City is responsible, and an estimate of damages; it also provides space for a diagram and witness and medical provider information. The instructions state filing periods for injury and property damage claims.
Who needs it
A person claiming damages from the City of Grand Terrace for injury or damage to personal or real property should complete and file this form.
How to submit it
File the signed claim with the City Clerk's Office at 22795 Barton Road, Grand Terrace, CA 92313.
About notarization
This claim is signed and dated without a notary; any separate sheets attached to provide details must also be signed, and the form identifies no notarized attachment.
How to submit this form
- 1
Download The Form
Download the City of Grand Terrace Claim for Damages to Person or Property form.
- 2
Complete The Claim
Read the instructions and provide claimant, incident, injury or damage, responsibility, and damages estimate information.
- 3
Gather Attachments
Add a diagram in the space provided and attach separate detail sheets if needed; sign each attached sheet.
- 4
Sign And Submit
Sign and date the form, then file it with the City Clerk's Office at 22795 Barton Road, Grand Terrace, CA 92313.
Frequently asked questions
- Who uses the Claim for Damages to Person or Property form?
- People claiming injury or personal or real property damage from the City of Grand Terrace use this form to provide claim and incident details and their estimate of damages.
- Do I need a notary for the Claim for Damages form?
- No. The claim is signed and dated without a notary. Any separate sheets attached to provide details must also be signed.
- How do I submit the Claim for Damages form?
- Sign the form and file it with the City Clerk's Office at 22795 Barton Road, Grand Terrace, CA 92313.
- What information does the claim form request?
- It requests claimant and incident details, a description of the injury or damage, why the City is responsible, damages estimates, and information about witnesses and medical providers.