San Mateo County, CA · San Mateo County
Claim Against the County of San Mateo
This claim form is for people seeking damages from San Mateo County and must be filed before they can sue the County.
At a glance
- Issued by
- City of San Mateo County · San Mateo County, San Mateo County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- smcgov.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to submit a claim for damages against San Mateo County, including claims involving County branches such as the Sheriff’s Office or Public Works Department. It asks for claimant contact details, the amount and itemization of the claim, incident date and location, a description of the loss, and any public employees involved. The instructions say claims usually must be filed within six months of the incident.
Who needs it
A person seeking damages from San Mateo County should complete this form before suing the County.
How to submit it
Return the completed claim to Claims, Board of Supervisors, 500 County Center, 5th Floor, Redwood City, CA 94063.
About notarization
This document is signed without a notary; the claimant signs and dates a declaration under penalty of perjury.
How to submit this form
- 1
Download the Claim Form
Download the Claim Against the County of San Mateo form.
- 2
Complete the Claim Details
Print legibly or type your contact details, claim amount, incident information, and itemization.
- 3
Sign and Date the Form
Sign and date the declaration under penalty of perjury.
- 4
Return the Form to the County
Send it to Claims, Board of Supervisors, 500 County Center, 5th Floor, Redwood City, CA 94063.
Frequently asked questions
- Do I need a notary for the Claim Against the County of San Mateo?
- No. The form has no notary block; the claimant signs and dates a declaration under penalty of perjury.
- How do I submit the Claim Against the County of San Mateo?
- Return it to Claims, Board of Supervisors, 500 County Center, 5th Floor, Redwood City, CA 94063.
- What information does the claim form request?
- It requests claimant contact information, the amount and itemization of the claim, incident date and location, a description of the damage or loss, and names of public employees involved, if known.
- When does the County say a claim usually must be filed?
- The instructions say a claim usually must be filed within six months of the incident. They advise contacting an attorney or the small claims advisory if it will take longer.