Cuyahoga Falls, OH · Summit County

No notary required

Legal Claim Form (Notice of Claim Against the City)

Residents and others use this form to submit a claim to Cuyahoga Falls for loss or property damage involving the City.

What this form is

The Legal Claim Form lets a person describe an incident, identify damaged property, state the amount claimed, and provide information about witnesses, insurance, and related claims. Complete it as fully as possible and include the required supporting items, such as proof of payment and damage. The City says insurance claims must be submitted to the insurance company first when the policy covers the loss.

Who needs it

Anyone seeking reimbursement from Cuyahoga Falls for a loss should complete the form and provide the required supporting documents.

How to submit it

Return the completed form and required items to the Cuyahoga Falls Law Department, 2310 Second Street, Cuyahoga Falls, OH 44221.

About notarization

This document is signed without a notary; the signer certifies the information and signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Cuyahoga Falls Legal Claim Form PDF.

  2. 2

    Complete The Form

    Fill in the incident, damage, insurance, witness, and other requested information as completely as possible.

  3. 3

    Gather Supporting Items

    Include proof of payment and damage, your insurance declarations page, and any other required insurance documents.

  4. 4

    Submit To The Law Department

    Return the completed form and supporting items to the Cuyahoga Falls Law Department at 2310 Second Street.

Frequently asked questions

What is the Cuyahoga Falls Legal Claim Form for?
It lets you report an incident, list property damage and the amount claimed, and provide information about witnesses, insurance, and related claims.
What documents should I include with my claim?
The instructions request proof of payment and the extent of damage, your insurance declarations page, and, when applicable, a letter denying coverage or your insurer’s response.
How do I submit the Cuyahoga Falls Legal Claim Form?
Return the completed form and required items to the Cuyahoga Falls Law Department, 2310 Second Street, Cuyahoga Falls, OH 44221.
Do I need a notary for the Legal Claim Form?
No. The form has no notary block; the signer certifies the information and signs and dates it.

Need something notarized?

This Legal Claim Form (Notice of Claim Against the City) doesn’t need a notary — but if you have another Cuyahoga Falls form that does, a commissioned online notary can help.