Liberty Hill, TX · Williamson County

No notary required

Claim Form

The Claim Form lets a person report an injury or property damage claim to the City of Liberty Hill and provide incident and loss details.

What this form is

Use this form to present a claim involving personal injury, property damage, or both to the City of Liberty Hill. It asks for claimant and incident details, a description of the event and losses, the amount claimed, and any supporting documents. The form says to submit it within 60 days of the damage or injury, or up to six months with good cause.

Who needs it

A person seeking to make a personal injury or property damage claim against the City of Liberty Hill can complete and submit this form.

How to submit it

Send the completed form by certified mail to Mayor and City Council, City of Liberty Hill, 926 Main Street, Liberty Hill, TX 78642. The form states a 60-day submission period, or up to six months with good cause.

About notarization

This form is signed and dated without a notary; the claimant certifies the information is true and complete, and no sworn attachment is identified.

How to submit this form

  1. 1

    Download The Form

    Download the City of Liberty Hill Claim Form PDF.

  2. 2

    Complete The Claim Details

    Fill in the applicable claimant, incident, injury or property damage, witness, and amount-of-claim sections.

  3. 3

    Gather Supporting Documents

    Attach any supporting documents, such as photographs, repair estimates, medical bills, or reports, as applicable.

  4. 4

    Sign And Date The Form

    Sign and date the certification section.

  5. 5

    Mail The Form

    Send it by certified mail to Mayor and City Council at the Liberty Hill address listed on the form.

Frequently asked questions

What does the Liberty Hill Claim Form ask for?
It requests claimant and incident information, a description of the incident and injury or property damage, the amount claimed, witness details, and information about attached supporting documents.
When does the form say to submit a claim?
The form states that it must be submitted within 60 days from the date of damage or injury, or up to six months with good cause. It also advises confirming current filing requirements.
Do I need a notary for the Liberty Hill Claim Form?
No. The claimant signs and dates the form and certifies that the information is true and complete; the document does not identify a sworn or notarized attachment.
How do I submit the Liberty Hill Claim Form?
The form directs you to send it by certified mail to Mayor and City Council, City of Liberty Hill, 926 Main Street, Liberty Hill, TX 78642.