City of Poughkeepsie, NY · Dutchess County
Notice of Claim
This Notice of Claim form records a claim against the City of Poughkeepsie and is filed with and served on the City Chamberlain by the claimant.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to give the City of Poughkeepsie details about a claim, including what happened, when and where it occurred, the amount claimed, and any damage or injuries. The form instructs claimants to file and serve three copies with the City Chamberlain within 90 days after the claim arises. It also includes a sworn statement for the claimant to affirm before a notary and directions for inquiries after submission.
Who needs it
A person making a claim against the City of Poughkeepsie should complete this form and file and serve three copies with the City Chamberlain.
Why it needs a notary
The form has a sworn-statement jurat; each claimant signing the statement must swear or affirm its contents before the notary.
How to get this notarized
- 1
Download The Form
Download the City of Poughkeepsie's Notice of Claim form.
- 2
Fill Out The Claim
Provide claimant and attorney details, describe what happened, state the amount claimed, and list damage or injuries.
- 3
Book An Online Notary
Arrange a session with a commissioned online notary for the form's sworn-statement jurat.
- 4
Sign On Video
Sign and swear or affirm the statement before the notary during the online session.
- 5
Submit To The City
File and serve three copies with the City Chamberlain within 90 days after the claim arises.
Preview the form
The blank PDF straight from City of Poughkeepsie. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit a Notice of Claim to Poughkeepsie?
- The form instructs claimants to file and serve three copies with the City Chamberlain within 90 days after the claim arises. It directs inquiries after submission to the Corporation Counsel.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a sworn statement and a jurat stating that it was sworn to before a notary. The claimant or claimants sign the statement before the notary.
- Can I notarize this form online?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, in effect since 2023. You can sign on video with a commissioned online notary.
- What details should I include in the claim?
- The form asks you to describe what happened, the date, time, location, and manner in which the claim arose, the amount claimed, and any damaged items or injuries.
- Where do I file the form, and what if I am unsure?
- The form says to file and serve three copies with the City Chamberlain within 90 days after the claim arises; confirm with the city, town or village if unsure.
Notice of Claim in other Dutchess County cities
Each city publishes its own version of this form. Pick the city where you’re filing.