Weed, CA · Siskiyou County
Claim Form
This form lets a person submit a claim to the City of Weed for personal injury, property damage, or another loss involving the city.
What this form is
Use this form to present a claim against the City of Weed for personal injury, property damage, or another loss. It asks for claimant contact details, when and where the incident occurred, what happened, the injury or damage, witnesses, city employees involved, and the amount claimed. The instructions say to complete it fully and file the original with one copy of all attachments.
Who needs it
A person seeking to make a claim against the City of Weed for personal injury, property damage, or another loss should complete and file this form.
How to submit it
File the original and one copy of all attachments with the Office of the City Clerk, P.O. Box 470, Weed, CA 96094; the instructions say claims go only to that office.
About notarization
This claim is signed and dated without a notary; the instructions do 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 City of Weed claim form and read the instructions on the reverse side before completing it.
- 2
Complete the Form
Fill out the form completely with claimant, incident, injury or damage, witness, city employee, and claim amount information.
- 3
Gather Attachments
Prepare one copy of all attachments to file with the original claim form.
- 4
Submit to the City Clerk
File the original and one copy of all attachments with the Office of the City Clerk at P.O. Box 470, Weed, CA 96094.
Frequently asked questions
- Do I need a notary for the City of Weed claim form?
- No. The form has a signature and date line but no notary block; the instructions do not identify any attachment or related step that must be notarized or sworn.
- How do I submit the City of Weed claim form?
- File the original form and one copy of all attachments with the Office of the City Clerk at P.O. Box 470, Weed, CA 96094. The instructions say claims must go only to that office.
- What information does the claim form ask for?
- It asks for claimant details, incident date and location, what happened, injuries or damage, witnesses, city employees involved, the amount claimed, and where to send notices.
- What attachments should I file with the claim?
- The instructions say to file one copy of all attachments with the original claim form. They do not specify particular attachments.
Need something notarized?
This Claim Form doesn’t need a notary — but if you have another Weed form that does, a commissioned online notary can help.