Dinuba, CA · Tulare County
Claim for Damages Form
This form lets a claimant submit a claim against an entity to the City of Dinuba and describe the incident, resulting losses, and amount sought.
What this form is
Use this form to present a claim against an entity for an injury, damage, or loss. The form says a person presenting a claim must use the in-person or by-mail form for the claim to be considered in conformity with the cited sections, and that a claim may be returned if submitted on another form. It asks for claimant and incident details, a description of the loss, and the amount sought.
Who needs it
A person presenting a claim against an entity for an injury, damage, or loss should complete and submit this form.
How to submit it
The form says claims must use the in-person or by-mail form, but it does not provide a department or mailing address. Check the city website for current contact details.
About notarization
This form is signed and dated without a notary; it asks the claimant or representative to sign and date it, with no notarized or sworn attachment listed.
How to submit this form
- 1
Download The Form
Download the City of Dinuba Claim for Damages Form.
- 2
Complete The Claim Details
Enter claimant and incident information, describe the loss, and state the amount sought or the appropriate court of jurisdiction.
- 3
Add Supporting Details
Use the back of the form or a separate sheet if more space is needed for the incident, loss, or amount calculation.
- 4
Submit The Form
Use the in-person or by-mail form as directed in the document; check the city website for current contact details.
Frequently asked questions
- What is the Dinuba Claim for Damages Form used for?
- It is used to present a claim against an entity and provide information about the incident, injuries, damages, or losses, and the amount sought.
- Who should complete this form?
- A person presenting a claim for an injury, damage, or loss should complete the form with claimant, incident, loss, and amount details.
- Do I need a notary for the Claim for Damages Form?
- No. The form asks the claimant or representative to sign and date it; it does not list a notarized or sworn attachment.
- How do I submit the Claim for Damages Form?
- The form says to use the in-person or by-mail form, but it does not give a submission address or department. Check the city website for current contact details.