Montclair, CA · San Bernardino County
Claim Against the City of Montclair
This form lets a person submit a claim to the City of Montclair for alleged injury, property damage, or other loss caused by the city.
What this form is
Use this form to submit a claim to the City of Montclair for alleged injury, property damage, or loss. The form says claims involving death, injury, or damage to persons or personal property must be filed within six months of the occurrence; other claims must be filed within one year. It asks for claimant and event details, injury or property loss, claimed damages, supporting bills or estimates, witnesses, and insurance information.
Who needs it
A person seeking to claim injury, property damage, or other loss allegedly caused by the City of Montclair or its employees should complete this form.
How to submit it
Mail or deliver the completed claim to the Office of the City Clerk, City of Montclair, 5111 Benito Street, P. O. Box 2308, Montclair, CA 91763-2808.
About notarization
This document is signed without a notary; the claimant signs and dates it and certifies the statements under penalty of perjury, with no notarized attachment mentioned.
How to submit this form
- 1
Download The Claim Form
Download the fillable Claim Against the City of Montclair PDF.
- 2
Complete The Form
Provide claimant and occurrence details, describe the injury or property loss, and fill in the damages and other requested information.
- 3
Gather Supporting Documents
Attach copies of bills, invoices, or estimates used to compute the amounts claimed.
- 4
Submit To The City Clerk
Mail or deliver the completed claim to the Office of the City Clerk at the address printed on the form.
Frequently asked questions
- What is the Claim Against the City of Montclair form for?
- It is used to submit a claim to the City of Montclair for alleged injury, property damage, or loss. The form asks about the occurrence, damages, witnesses, and insurance.
- Do I need a notary for the Claim Against the City of Montclair?
- No. The claimant signs and dates the form and certifies the statements under penalty of perjury; the document does not mention a notarized attachment.
- How do I submit the claim?
- Mail or deliver the completed form to the Office of the City Clerk, City of Montclair, 5111 Benito Street, P. O. Box 2308, Montclair, CA 91763-2808.
- When does the form say a claim must be filed?
- The form says claims involving death, injury, or damage to persons or personal property must be filed within six months after the occurrence. Other claims must be filed within one year.
Need something notarized?
This Claim Against the City of Montclair doesn’t need a notary — but if you have another Montclair form that does, a commissioned online notary can help.