Liability Claim Form - City of Bakersfield 2026

1. Click ‘Get Form’ to open the Liability Claim Form in the editor.
2. Begin by filling out the Claimant’s Information section. Provide your full name, date of birth, and complete home address. If you are a minor, include the name of your parent or guardian.
3. In the next section, detail the date, time, place, and circumstances of the incident that led to your claim. Be as precise as possible regarding the exact location and nature of the occurrence.
4. Describe the injury or damage sustained in detail. This is crucial for assessing your claim.
5. List any witnesses to the incident along with their contact information. This can support your claim significantly.
6. Identify any public employees involved in causing the injury or damage, if known.
7. Finally, state the total amount claimed and provide any necessary documentation such as repair estimates for property damage.
8. Don’t forget to sign at the bottom of page 2 and ensure all attached sheets are also signed.

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