White Settlement, TX · Tarrant County

No notary required

Notice of Claim – Other Than Vehicle

White Settlement residents and others use this form to submit a written claim for an incident involving damage other than a vehicle.

What this form is

Use this form to report a non-vehicle claim to the City of White Settlement for review by its third-party insurance administrator. The form requests claimant and incident details, including the date, location, witnesses, injuries, and a description of what happened. File the claim in writing within 30 days of the incident, and attach photos and any repair invoices, estimates, or receipts you want considered.

Who needs it

Anyone submitting a written claim to White Settlement for an incident involving damage other than a vehicle should complete this form.

How to submit it

Email the completed form and supporting documents to the City Secretary at [email protected], the preferred method; or mail them to the City Secretary’s Office, 214 Meadow Park Dr., White Settlement, TX 76108. You may also deliver them to City Hall during regular business hours.

About notarization

This document is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Notice of Claim – Other Than Vehicle PDF.

  2. 2

    Complete The Form

    Fill in your claimant and incident information, describe what happened, then sign and date the form.

  3. 3

    Gather Supporting Documents

    Attach clear photos of the damaged property and any repair invoices, estimates, or receipts you want considered.

  4. 4

    Submit The Claim

    Email, mail, or deliver the completed form and supporting documents to the City Secretary as described on the form.

Frequently asked questions

Do I need a notary for this claim?
No. The form asks the claimant to sign and date it; it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the non-vehicle claim form?
Email it and supporting documents to [email protected], mail them to the City Secretary’s Office at 214 Meadow Park Dr., or deliver them to City Hall during regular business hours.
What should I attach to the claim form?
Attach photos that clearly show the damaged property, including a full view, and any invoices, estimates, or receipts for repair costs you want considered.
When must I file the claim?
The form states that a claim must be filed in writing within 30 days of the incident.

Need something notarized?

This Notice of Claim – Other Than Vehicle doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.