Claim Form - San Francisco Housing Authority 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and address in the designated fields at the top of the form. If applicable, include your Tenant I.D. No. and the name of your development.
3. Fill in your Social Security Number, Date of Birth, and Occupation, along with your employment details.
4. Specify the address where notices should be sent to ensure you receive all communications regarding your claim.
5. Document the date, time, and location of the incident clearly to provide context for your claim.
6. In the description section, detail the incident and explain why you believe the Housing Authority is liable for damages.
7. Itemize all damages incurred as a result of the incident in the provided fields, including amounts for each item listed.
8. Calculate and enter the total dollar amount of all damages claimed at the bottom of this section.
9. List any Housing Authority employees involved in causing damage and provide names and addresses of witnesses if available.
10. If applicable, indicate when you were served with any underlying lawsuit related to this claim.
11. Finally, sign and date the form before submitting it to your property manager or HR department as instructed.

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