Burlingame, CA · San Mateo County
Claim Against the City
Claimants use this form to report damages they believe the City of Burlingame caused and request compensation from the city.
What this form is
The form records the claimant’s contact information, the incident details, the damages claimed, and any public employees identified as causing them. It asks claimants to attach copies of bills or estimates and, for claims over $10,000, indicate whether jurisdiction rests in Municipal or Superior Court. The form states filing periods of 180 days for personal injury or property damage claims and one year for other claims.
Who needs it
A person seeking compensation for damages they believe the City of Burlingame caused should complete and submit this claim form.
How to submit it
Return the completed form to the City Clerk, 501 Primrose Rd., Burlingame, CA 94010. Attach copies of bills or estimates.
About notarization
This claim is signed without a notary; the claimant also declares under penalty of perjury that the information is true to the best of their knowledge.
How to submit this form
- 1
Download the Form
Download the Claim Against the City PDF and complete it online before printing, or type or print clearly.
- 2
Complete the Claim
Provide your contact information, incident details, amount claimed, and descriptions of the incident and damages.
- 3
Gather Attachments
Attach copies of bills or estimates. For claims over $10,000, indicate whether jurisdiction rests in Municipal or Superior Court.
- 4
Sign and Return
Sign and date the form, then return it to the City Clerk at 501 Primrose Rd., Burlingame, CA 94010.
Frequently asked questions
- Do I need a notary for the Claim Against the City form?
- No. The form has no notary block; the claimant signs and dates it and declares under penalty of perjury that the information is true to the best of their knowledge.
- How do I submit the Claim Against the City form?
- Return the completed form to the City Clerk at 501 Primrose Rd., Burlingame, CA 94010. Attach copies of bills or estimates.
- What information does the claim form ask for?
- It asks for claimant contact details, the incident date, time and location, a description of the incident and damages, and the names of public employees believed to have caused them.
- What should I include if my claim is over $10,000?
- The form asks claimants with an amount over $10,000 to indicate whether jurisdiction rests in Municipal Court or Superior Court.
Need something notarized?
This Claim Against the City doesn’t need a notary — but if you have another Burlingame form that does, a commissioned online notary can help.