Liability Claim Form

To file a claim, you can download a Claim Against the City of Santa Ana form in English or Spanish 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 the Application for Leave to Present a Late Claim to the City of Santa Ana.

You may also pick up a claim form in-person from:

City of Santa Ana City Clerk's Office

20 Civic Center Plaza
Santa Ana, CA 92701

8th Floor of City Hall

Hours: 8:00 am - 5:00 pm
Monday - Friday *Closed alternating Fridays

City of Santa Ana Risk Management

20 Civic Center Plaza
Santa Ana, CA 92701

5th Floor of City Hall

Hours: 8:00 am - 5:00 pm
Monday - Friday *Closed alternating Fridays

Note: filing a claim or a request for extension does not imply automatic acceptance.

Download the Claim Form

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