Sebastopol, CA · Sonoma County
Claim For Money Or Damages Against The City Of Sebastopol
Claimants use this form to present a claim for money or damages against the City of Sebastopol and provide details about the incident and claimed loss.
What this form is
A person seeking money or damages from the City of Sebastopol uses this form to present a claim. It requests claimant and notice contact information, details about the occurrence, a description of the loss, and information about the amount claimed or whether the case is limited or unlimited. It also asks for witness, medical-treatment, or automobile-accident details when applicable.
Who needs it
A claimant, or someone acting on the claimant’s behalf, uses this form to present a claim for money or damages against the City of Sebastopol.
How to submit it
File the claim with the Office of the City Manager/City Clerk, City of Sebastopol, 7120 Bodega Avenue, Sebastopol, CA 95472. Attach additional sheets or supporting documents when applicable.
About notarization
This claim is signed and dated without a notary; the form requests supporting medical or vehicle documents when applicable but does not say they must be notarized.
How to submit this form
- 1
Download The Claim Form
Download the City of Sebastopol claim for money or damages form.
- 2
Complete The Form
Provide claimant and notice contact information, occurrence details, a description of the loss, and the requested claim amount or case type.
- 3
Gather Supporting Documents
Attach additional sheets if needed and applicable medical bills, reports, repair bills, or estimates.
- 4
Sign And Date The Claim
Sign and date the form, and provide the printed name requested.
- 5
File With The City
File it with the Office of the City Manager/City Clerk at 7120 Bodega Avenue, Sebastopol, CA 95472.
Frequently asked questions
- What is the Sebastopol claim for money or damages form?
- It is a form for presenting a claim against the City of Sebastopol. It asks for claimant and incident details, information about the claimed loss, and other details that may apply.
- Do I need a notary for this claim?
- No. The form provides a signature and date line and does not contain a notary block. It requests medical or vehicle supporting documents when applicable but does not say they must be notarized.
- How do I submit the claim?
- File it with the Office of the City Manager/City Clerk, City of Sebastopol, 7120 Bodega Avenue, Sebastopol, CA 95472. The form says to attach additional sheets if needed.
- What information and attachments does the form request?
- It requests claimant and notice contact details, occurrence information, a description of the loss, and information about the amount claimed or case type. Medical bills or reports and vehicle repair bills or estimates may be attached when applicable.