Rosebud County, MT · Rosebud County
Claim Form
Rosebud County claimants use this form to describe items or services, certify the claim, and request payment from the county.
At a glance
- Issued by
- City of Rosebud County · Rosebud County, Rosebud County, Montana
- Notarization
- Not required: file this form without a notary.
- Official source
- rosebudcountymt.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form records a claim for payment to Rosebud County and asks for the vendor, shipping information if different, invoice number, item or service description, service date, and amount. The claimant certifies the claim is correct and signs and dates it; an approval section is also provided. The form says to keep all documentation with the claim and make an additional copy if forms should accompany payment.
Who needs it
A vendor or claimant seeking payment from Rosebud County should complete and sign this form.
How to submit it
Sign and return the claim for payment to the Rosebud County Clerk & Recorder, PO Box 47, Forsyth, MT 59327. The form also lists a phone number and county website.
About notarization
This document is signed without a notary; it mentions no notarized or sworn attachment, so the claimant just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Rosebud County Claim Form PDF.
- 2
Complete the Claim
Enter the vendor and shipping details, invoice number, item or service description and date, and amount.
- 3
Gather Documentation
Keep all documentation with the claim. Make an additional copy if you want forms to accompany payment.
- 4
Sign and Return
Certify, sign, and date the claim, then return it to the Rosebud County Clerk & Recorder at the address on the form.
Frequently asked questions
- What is the Rosebud County Claim Form for?
- It documents a claim for payment to Rosebud County, including vendor details, invoice information, a description of items or services, and the amount claimed.
- Who should complete this claim form?
- A vendor or claimant seeking payment from Rosebud County should fill in the form, certify the claim, and sign and date it.
- Do I need a notary for the Rosebud County Claim Form?
- No. This form is signed without a notary and mentions no notarized or sworn attachment; the claimant just signs and dates it.
- How do I submit the Rosebud County Claim Form?
- Sign and return it for payment to the Rosebud County Clerk & Recorder, PO Box 47, Forsyth, MT 59327. The form lists 406-346-7318 and rosebudcountymt.gov.