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City of Anaheim Claim Form

In accordance with Chapter 1.12.060 of the Anaheim Municipal Code, certain claims filed against the City of Anaheim must be filed with City Clerk.  To file a claim, please download the form, complete all required fields and personally deliver or mail your original form to the City Clerk. You may also contact the City Clerk's office and request a form be mailed to you.

Claims process:
1.  Submit your original claim form and any supporting documents to the City Clerk's office-200 S. Anaheim Blvd., Suite 217, Anaheim 92805.
2.  Upon receipt of your original claim form, the City Clerk's office will process your claim and forward it to the Risk Management Department.
3.  The Risk Management team will review your claim and contact you within two (2) weeks from the date you filed your claim.

For questions regarding your filed claim, Risk Management can be contacted at (714) 765-5193.

For any additional questions, please contact City Clerk's office at: 
(714) 765-5166.
 

Claim Against the City of Anaheim (PDF format)





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