Trinity County, CA · Trinity County
Claim for Damages
This form lets a claimant request reimbursement for injury or property damage allegedly caused by a county act or omission.
At a glance
- Issued by
- City of Trinity County · Trinity County, Trinity County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- trinitycounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Claim for Damages form is used to submit a claim to Trinity County after an accident or event that caused injury or property damage. The form says it must be filed with the Board of Supervisors within six months of the event. It asks for claimant and incident details, information about injuries or damaged property, witnesses, and the amount claimed, with supporting bills, receipts, or estimates.
Who needs it
Anyone seeking damages from Trinity County for an injury or property loss they believe resulted from a county act or omission should complete this form.
How to submit it
Mail the completed claim to the Trinity County Board of Supervisors, Attention: Clerk of the Board, Courthouse, P.O. Box 1613, Weaverville, CA 96093. The form says fax and electronic submissions will not be accepted.
About notarization
This document is signed without a notary; the claimant certifies the statements under penalty of perjury and attaches supporting bills, receipts, or cost estimates.
How to submit this form
- 1
Download the Form
Download the Claim for Damages PDF.
- 2
Complete the Claim
Provide claimant and incident details, describe the injury or property damage, and state the amount claimed.
- 3
Gather Supporting Documents
Attach supporting bills, receipts, or cost estimates; include photographs if applicable.
- 4
Mail the Claim
Mail it to the Trinity County Board of Supervisors, Attention: Clerk of the Board. Fax and electronic submissions are not accepted.
Frequently asked questions
- Do I need a notary for the Claim for Damages form?
- No. The form has no notary block; the claimant signs and certifies the statements under penalty of perjury. Attach supporting bills, receipts, or cost estimates.
- How do I submit the Claim for Damages form?
- Mail the completed claim to the Trinity County Board of Supervisors, Attention: Clerk of the Board, Courthouse, P.O. Box 1613, Weaverville, CA 96093. Fax and electronic submissions are not accepted.
- What information does the claim form request?
- It requests claimant contact details, incident date, time and place, the alleged county act or omission, injury or property damage details, witnesses, and the amount claimed.
- When must I file a Claim for Damages?
- The form says the claim must be filed with the Board of Supervisors within six months after the accident or event.