Marysville, CA · Yuba County
Claim for Damages to Person or Property
Use this form to file a claim with the City of Marysville for damage to real or personal property, or for a death or injury to a person.
What this form is
The form is for presenting a claim to the City of Marysville for damage to property, death, or personal injury. It asks for claimant contact details, when and where the incident occurred, how it happened, why the city is responsible, damage amounts, witnesses, and medical providers. The form says claims for injury or personal property damage must be filed within six months, and claims for real property damage within one year.
Who needs it
A person filing a claim with the City of Marysville for death, injury, or damage to real or personal property needs this form.
How to submit it
File the claim with the City Clerk’s Office at 526 “C” Street, PO Box 150, Marysville, CA 95901.
About notarization
This document is signed without a notary; the claimant signs and dates the form, and separately attached sheets must also be signed.
How to submit this form
- 1
Download The Form
Download the Claim for Damages to Person or Property form.
- 2
Complete The Claim
Read the form and fill in claimant, incident, damage, witness, and medical-provider details. Complete the accident diagram when applicable.
- 3
Gather And Sign Attachments
Attach and sign separate sheets if needed. If the diagram does not fit the situation, attach a suitable diagram signed by the claimant.
- 4
Sign And File With The City
Sign and date the form, then file it with the City Clerk’s Office at the address provided.
Frequently asked questions
- What is the Marysville claim for damages form used for?
- Use it to present a claim to the City of Marysville for death, personal injury, or damage to real or personal property.
- Do I need a notary for the claim for damages form?
- No. The form calls for the claimant or representative to sign and date it; separately attached sheets must also be signed.
- How do I submit the claim for damages form?
- File it with the City Clerk’s Office at 526 “C” Street, PO Box 150, Marysville, CA 95901.
- What information does the claim form ask for?
- It asks about the claimant, incident, claimed responsibility, damages, witnesses, doctors, and hospitals. It also provides a diagram for locating an accident.
Need something notarized?
This Claim for Damages to Person or Property doesn’t need a notary — but if you have another Marysville form that does, a commissioned online notary can help.