Sierra County, CA · Sierra County
Claim for Money or Damages Against the County of Sierra
This claim form is for people seeking money or damages from Sierra County and may be presented by the claimant or someone acting on their behalf.
At a glance
- Issued by
- City of Sierra County · Sierra County, Sierra County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- sierracounty.ca.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to present a claim for money or damages against Sierra County. It asks for the claimant’s contact details, information about the incident and claimed loss, and details about witnesses; additional questions apply to medical or automobile claims. The form also requests supporting documents when applicable and a signed accident diagram for accident claims.
Who needs it
A person seeking money or damages from Sierra County, or someone acting on that person’s behalf, can use this form to present the claim.
How to submit it
File the completed claim with the County Clerk, Sierra County, PO Drawer D, Downieville, CA 95936.
About notarization
This document is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Claim Form
Download the Sierra County claim form.
- 2
Complete the Claim
Fill in the requested claimant, incident, loss, witness, and applicable medical or automobile information.
- 3
Gather Supporting Documents
Attach applicable medical bills or reports, automobile repair bills or estimates, and any additional sheets needed for your answers.
- 4
Sign and Date the Form
Sign and date the completed claim form.
- 5
File With the County Clerk
Send or deliver the claim to the County Clerk, Sierra County, PO Drawer D, Downieville, CA 95936.
Frequently asked questions
- Do I need a notary for the Sierra County claim form?
- No. The form calls for a signature and date, not notarization. It does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the claim form?
- File it with the County Clerk, Sierra County, PO Drawer D, Downieville, CA 95936.
- What information does the claim form request?
- It asks for claimant and notice contact details, incident circumstances, information about the loss, witnesses, and (in applicable claims) medical or automobile information.
- What supporting documents may I attach?
- For medical claims, the form says to attach applicable medical bills, reports, or similar documents. For automobile claims, it says to attach applicable repair bills, estimates, or similar documents.