Dunsmuir, CA · Siskiyou County
Claim for Money or Damages Against the City of Dunsmuir
This claim form is for people seeking money or damages from the City of Dunsmuir and must be completed and signed by the claimant or their representative.
What this form is
Use this form to present a claim for money or damages against the City of Dunsmuir. It asks for claimant and incident details, information about injury or loss, witnesses, and the amount or type of claim; the instructions say claims must be presented to the city and explain that different filing periods may apply. Complete each section, sign the form, and include extra sheets if needed.
Who needs it
A person seeking money or damages from the City of Dunsmuir, or their attorney or representative, uses this form to present the claim.
How to submit it
Mail the completed and signed claim form to the City Clerk, City of Dunsmuir, 5915 Dunsmuir Ave, Dunsmuir, CA 96025.
About notarization
This document is signed without a notary; the claimant declares under penalty of perjury that the information is true and correct, then signs and dates the form.
How to submit this form
- 1
Download The Claim Form
Download the City of Dunsmuir claim form and read the attached instructions before completing it.
- 2
Complete Each Section
Provide the requested claimant, incident, damage or injury, witness, and claim amount information. Type or print clearly.
- 3
Gather Supporting Details
Attach extra sheets if needed and include information such as incident photos or a diagram when relevant.
- 4
Sign And Mail The Form
Sign and date the claim, then mail it to the City Clerk at 5915 Dunsmuir Ave, Dunsmuir, CA 96025.
Frequently asked questions
- Do I need a notary for the Dunsmuir claim form?
- No. The form has no notary block. The claimant signs and dates a declaration under penalty of perjury that the information is true and correct.
- How do I submit the Dunsmuir claim form?
- Mail the completed and signed form to the City Clerk, City of Dunsmuir, 5915 Dunsmuir Ave, Dunsmuir, CA 96025.
- What information does the claim form ask for?
- It asks for claimant contact details, incident circumstances, injury or damage, witnesses, and claim amount or court jurisdiction. Auto-accident claimants are asked for vehicle information.
- Who may sign the claim form?
- The instructions say the claim must be signed by the claimant or by an attorney or representative on the claimant’s behalf. The City Clerk will not accept it without a proper signature.
Need something notarized?
This Claim for Money or Damages Against the City of Dunsmuir doesn’t need a notary — but if you have another Dunsmuir form that does, a commissioned online notary can help.