Do I need a notary for this claim form?

No. The form says the claimant or a person acting on the claimant’s behalf must sign and date it; the instructions request estimates or bills, not notarized attachments.

What information does the claim form ask for?

It asks for claimant and notice-contact information, the date, time, location, and circumstances of the incident, a description and amount of the loss, and witness or medical-provider details.

What should I attach to the claim?

The instructions say to attach written estimates or bills if available. For auto damage, the form instructions require two written estimates.

Patterson, CA · Stanislaus County

No notary required

Claim Against the County of Stanislaus

This claim form lets individuals seek payment from the County of Stanislaus for injury, damage, or loss and is filed with its Board of Supervisors.

What this form is

Use this form to present a claim against the County of Stanislaus for injury, property damage, or other loss. It asks for claimant and notice-contact details, when and where the incident occurred, its circumstances, the loss and amount claimed, and witnesses or medical providers; attach estimates or bills if available, with two estimates for auto damage.

Who needs it

Anyone presenting a claim against the County of Stanislaus for injury, property damage, or another loss can use this form.

How to submit it

File the completed, signed, and dated claim with the Board of Supervisors, County of Stanislaus, 1010 10th St., Suite 6500, Modesto, CA 95354. Attach written estimates or bills if available; auto damage requires two written estimates.

About notarization

This form is signed and dated by the claimant or representative without a notary; the instructions request estimates or bills, not notarized attachments.

How to submit this form

1
Download The Claim Form
Download the County of Stanislaus claim form from this directory.
2
Complete The Form
Provide the claimant and incident details, describe the loss, state the amount claimed, and list witnesses or medical providers.
3
Gather Supporting Estimates
Attach written estimates or bills if available; include two written estimates for auto damage.
4
Sign And Submit
Sign and date the form, then file it with the Board of Supervisors, County of Stanislaus, at the address in the instructions.

Frequently asked questions

Do I need a notary for this claim form?: No. The form says the claimant or a person acting on the claimant’s behalf must sign and date it; the instructions request estimates or bills, not notarized attachments.
How do I submit the claim form?: File the completed, signed, and dated form with the Board of Supervisors, County of Stanislaus, at 1010 10th St., Suite 6500, Modesto, CA 95354.
What information does the claim form ask for?: It asks for claimant and notice-contact information, the date, time, location, and circumstances of the incident, a description and amount of the loss, and witness or medical-provider details.
What should I attach to the claim?: The instructions say to attach written estimates or bills if available. For auto damage, the form instructions require two written estimates.

Need something notarized?

This Claim Against the County of Stanislaus doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.