File a Claim
To file a claim, please download the form, complete all required fields and personally deliver or mail your original form (no electronic service will be accepted) to the City Clerk's Office. City staff cannot provide legal advice to any person concerning a claim against the City. Any person wishing to submit a claim is encouraged to seek the advice of an attorney of their choosing.
Claims process:
- Submit your original claim form and any supporting documents in person or by mail with an original wet signature:
- In Person: City Clerk's Office, City of Santa Ana, 20 Civic Center Plaza, 8th Floor, Santa Ana, CA 92701
- By Mail: City Clerk's Office, City of Santa Ana, P.O. Box 1988, Santa Ana, CA 92701
- Upon receipt of your original claim form, the City Clerk's office will process your claim and forward it to our third party administrator, AdminSure.
- AdminSure will review your claim and send a letter of confirmation within two (2) weeks from the date you filed your claim.
For any additional questions, please contact City Clerk's office at: (714) 647-6520.
LATE CLAIM: If you are filing a claim after six (6) months after the date of incident, but not exceeding one (1) year, you MUST file an Application for Leave to Present a Late Claim to the City of Santa Ana