Atherton, CA · San Mateo County
Claim Form
Atherton residents and others use this form to present a claim to the Town for damages they believe resulted from an incident involving the Town.
What this form is
Use this form to present a claim to the Town of Atherton for damages you believe resulted from an incident or accident. It asks for claimant and contact details, the amount claimed, incident date, time and location, an explanation of the incident and damages, and the names of public employees involved. The form says to attach copies of bills or estimates.
Who needs it
Anyone presenting a claim to the Town of Atherton for damages should complete this form and provide the requested incident and damage information.
How to submit it
Return the completed claim to the City Clerk, Town of Atherton, 80 Fair Oaks Lane, Atherton, CA 94027, as directed on the form.
About notarization
This claim is signed without a notary; attach copies of bills or estimates, which the form does not say must be notarized.
How to submit this form
- 1
Download the Form
Download the Atherton Claim Form.
- 2
Complete the Claim
Fill in the claimant, contact, amount, incident, damage, and public employee information requested.
- 3
Gather Attachments
Attach copies of bills or estimates.
- 4
Return the Form
Return the completed claim to the City Clerk at 80 Fair Oaks Lane, Atherton, CA 94027.
Frequently asked questions
- Do I need a notary for the Atherton Claim Form?
- No. The form has a claimant signature and date line but no notary block. Attach copies of bills or estimates; the form does not say they must be notarized.
- How do I submit the Atherton Claim Form?
- Return the completed form to the City Clerk, Town of Atherton, at 80 Fair Oaks Lane, Atherton, CA 94027.
- What information does the Claim Form ask for?
- It asks for claimant and contact details, the amount claimed, incident date, time and location, descriptions of the incident and damages, and names of public employees involved.