Daly City, CA · San Mateo County
Claim Against the City of Daly City
This form lets a person submit a claim to Daly City for personal injury, property damage, or loss allegedly involving the City.
What this form is
Use this form to present a claim to Daly City for personal injury, property damage, or loss. It asks for the claimant’s contact details, incident date and location, claim facts, injury or damage description, possible witnesses, and the amount claimed or court jurisdiction. The instructions request supporting documents, such as bills, receipts, and repair estimates, when available.
Who needs it
A person claiming personal injury, property damage, or loss allegedly involving Daly City should complete and submit this form.
How to submit it
Submit the completed form with supporting documents to the Office of the City Clerk, 333 – 90th Street, Daly City, CA 94015.
About notarization
This document is signed and dated without a notary; it mentions supporting documents but does not say any attachment or related step must be notarized or sworn.
How to submit this form
- 1
Download The Claim Form
Download the Daly City claim form PDF.
- 2
Complete The Form
Fill in the claimant details, incident information, claim basis, injury or damage description, witnesses, and amount or court jurisdiction.
- 3
Gather Supporting Documents
Include supporting documents; the instructions mention bills, receipts, and repair estimates whenever possible.
- 4
Sign And Submit
Sign and date the form, then submit it with supporting documents to the Office of the City Clerk at the listed address.
Frequently asked questions
- Do I need a notary for the Daly City claim form?
- No. The form asks the claimant or representative to sign and date it; it does not say supporting documents must be notarized or sworn.
- How do I submit the Daly City claim form?
- Send the completed form with supporting documents to the Office of the City Clerk, 333 – 90th Street, Daly City, CA 94015.
- What information does the claim form ask for?
- It asks for claimant and correspondence details, incident information, the basis and description of the claim, witnesses, and the amount claimed or court jurisdiction.
- What supporting documents can I include?
- The instructions say you may attach additional sheets as needed and request copies of bills, receipts, and repair estimates whenever possible.
Need something notarized?
This Claim Against the City of Daly City doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.