Chicago, IL · Cook County
Property Damage Claim Form
The Property Damage Claim Form lets a person seek compensation from Chicago for property damage and provide incident details and supporting records.
What this form is
This form is for claims of $2,500 and below for property damage in Chicago. It asks for claimant and insurance information, incident details, and a description of the damage; it also calls for supporting documents, including estimates or a paid bill, with additional requirements for some claims.
Who needs it
A person seeking compensation from Chicago for property damage of $2,500 or less should complete and submit this claim form.
How to submit it
Mail or hand deliver the completed form to the Office of the City Clerk, City of Chicago, 121 North LaSalle Street, Room 107, Chicago, Illinois 60602, Attention: Claims Department.
About notarization
This document is signed and dated without a notary; it requires no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Property Damage Claim Form PDF.
- 2
Complete The Form
Print legibly and answer all questions, providing claimant, insurance, incident, and damage details.
- 3
Gather Supporting Records
Attach the identification photocopy, insurance card, and required estimates or paid bill with proof of payment.
- 4
Sign And Submit
Sign and date the certification, then mail or hand deliver the claim package to the City Clerk’s Claims Department.
Frequently asked questions
- Do I need a notary for the Property Damage Claim Form?
- No. This document is signed and dated without a notary, and it does not require a notarized or sworn attachment.
- How do I submit the Property Damage Claim Form?
- Mail or hand deliver it to the Office of the City Clerk, City of Chicago, 121 North LaSalle Street, Room 107, Chicago, Illinois 60602, Attention: Claims Department.
- What supporting documents does the claim form request?
- The form requests a photocopy of a driver’s license or state ID, an insurance card, and two written itemized estimates or an itemized paid bill with proof of payment. It also specifies additional records for some claims.
Need something notarized?
This Property Damage Claim Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.