South San Francisco, CA · San Mateo County
Claim Against the City of South San Francisco
This claim form lets people seeking compensation for personal injury, property damage, or other losses submit a claim against the City of South San Francisco.
What this form is
Use this form to present a claim against the City of South San Francisco for personal injury, property damage, or other loss. It asks for claimant and incident details, the amount claimed, and contact information for notices. Attach supporting documentation for the amounts claimed; automobile accident claims also require proof of insurance. The form warns that presentation periods vary and may be six months or one year.
Who needs it
Anyone seeking compensation from the City of South San Francisco for personal injury, property damage, or another loss may use this claim form.
How to submit it
File the original and one copy of all attachments with the Finance Department - Claims, P.O. Box 711, South San Francisco, CA 94083. The instructions say claims may be submitted only to the Finance Department.
About notarization
This claim is signed and dated without a notary; attach supporting documentation for claimed amounts and, for automobile accidents, proof of insurance.
How to submit this form
- 1
Download the Claim Form
Download the City of South San Francisco claim form PDF.
- 2
Complete the Form
Type or print clearly in black ink and provide claimant, incident, loss, and contact details.
- 3
Gather Attachments
Include copies of supporting documentation for the amounts claimed; include proof of insurance for an automobile accident claim.
- 4
Submit to the Finance Department
File the original and one copy of all attachments with Finance Department - Claims at P.O. Box 711, South San Francisco, CA 94083.
Frequently asked questions
- What does the South San Francisco claim form cover?
- The form is for claims against the city involving personal injury, property damage, or other loss. It asks for incident details, the amount claimed, and claimant contact information.
- How do I submit the claim form?
- File the original and one copy of all attachments with the Finance Department - Claims, P.O. Box 711, South San Francisco, CA 94083. The instructions state claims must go to the Finance Department.
- Do I need a notary for the South San Francisco claim form?
- No. The claim is signed and dated without a notary. Attach supporting documentation for claimed amounts and, for automobile accidents, proof of insurance.
- What documents should I attach to my claim?
- Attach copies of supporting documentation for the amounts claimed. If the claim concerns an automobile accident, the form also instructs you to attach proof of insurance.
Need something notarized?
This Claim Against the City of South San Francisco doesn’t need a notary — but if you have another South San Francisco form that does, a commissioned online notary can help.