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MAYOR & COUNCIL
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Councilmembers
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Risk Management Division

Liability Claim Form

 

Download a "Claim Against the City of Santa Ana" form or call (714) 647-5470 to request that a claim form be mailed to you. If you are filing a claim after six (6) months after the date of incident, but not exceeding one (1) year, you also need to download an “Application for Leave to Present a Late Claim to the City of Santa Ana.” You may also pick up a claim form from either of the offices listed below:

City of Santa Ana
Clerk of the Council

20 Civic Center Plaza
Santa Ana, CA 92701

8th floor of City Hall

Hours: 8:00 a.m. - 5:00 p.m.
Monday - Friday

City of Santa Ana Risk Management Division

20 Civic Center Plaza
Santa Ana, CA 92701

4th floor of City Hall

Hours: 8:00 a.m. - 5:00 p.m.
Monday - Friday

 
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