Grand Haven, MI · Ottawa County
General Liability Claim Form
Grand Haven residents or others with an incident claim against the city use this form to describe the incident, damages, and supporting documentation.
What this form is
Use this form to submit a general liability claim to the City of Grand Haven. It asks for your contact details, incident date and location, a description of the incident and damages, estimated cost, information about police or city department contacts and witnesses, and any other comments.
Who needs it
Anyone submitting a general liability claim to the City of Grand Haven can use this form to provide incident details and supporting information.
How to submit it
Return the completed form to the City of Grand Haven Clerk’s Office at 519 Washington Avenue, Grand Haven, MI 49417. The form also lists phone, fax, and email contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the General Liability Claim Form.
- 2
Complete The Form
Fill in your contact details and describe the incident, damages, estimated cost, and any witnesses or other comments.
- 3
Gather Supporting Documents
Include documentation to support your claim, such as photos, estimates or receipts, or a police report.
- 4
Sign And Date
Sign and date the completed form.
- 5
Return The Form
Return it to the City of Grand Haven Clerk’s Office at the address listed on the form.
Frequently asked questions
- What is the General Liability Claim Form for?
- It lets you submit a general liability claim to the City of Grand Haven and provide incident details, damages, estimated costs, and supporting information.
- What information does the form ask for?
- It asks for contact details, incident date and location, an incident description, damages or medical treatment, estimated cost, witnesses, and other comments.
- Do I need a notary for the General Liability Claim Form?
- No. This form is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the General Liability Claim Form?
- Return it to the City of Grand Haven Clerk’s Office at 519 Washington Avenue, Grand Haven, MI 49417. The form also lists phone, fax, and email contact details.
Need something notarized?
This General Liability Claim Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.