Cloverdale, CA · Sonoma County
Claim For Money Or Damages
This form lets a person submit a claim for money or damages against the City of Cloverdale, with details about the event and claimed loss.
What this form is
Use this form to present a claim for money or damages against the City of Cloverdale. It asks for claimant and notice-contact details, information about the occurrence and resulting loss, and details about witnesses or related medical treatment or automobile accidents, when applicable. It also requests supporting documents in some cases and requires the claimant’s signature and date.
Who needs it
A person making a claim for money or damages against the City of Cloverdale should complete and sign this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This claim is signed and dated without a notary; any attached medical records, bills, repair estimates, or diagram are supporting materials, and the form does not require them to be notarized.
How to submit this form
- 1
Download The Claim Form
Download the City of Cloverdale Claim For Money Or Damages form.
- 2
Complete The Requested Information
Provide claimant and contact details, occurrence and loss information, and any applicable witness, medical, or automobile details.
- 3
Gather Supporting Materials
Attach applicable medical bills or reports, repair bills or estimates, extra information sheets, or a signed diagram if needed.
- 4
Sign And Submit The Form
Sign and date the form, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Claim For Money Or Damages form?
- It is a form for presenting a claim for money or damages against the City of Cloverdale. It asks for details about the occurrence, claimed loss, claimant, and supporting information.
- Who should complete this claim form?
- A person making a claim for money or damages against the City of Cloverdale should provide the requested information and sign and date the form.
- Do I need a notary for the Claim For Money Or Damages form?
- No. The form calls for the claimant’s signature and date, not notarization. Supporting medical records, bills, repair estimates, or a diagram are not identified as needing notarization.
- How do I submit the Claim For Money Or Damages form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Claim For Money Or Damages doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.