If you would like to file a claim for money or damages for death or bodily injury or damage to personal property you must file within 6 months of the incident or injury (Government Code 911.2).

Forms: 

You can download the instructions and claim form below, or you may come to the Personnel/Insurance Department at the Civic Center to pick one up in person.

• City Claim Form Instructions
• City Claim Form

What to Expect:

Your claim will be forwarded to the City's claims adjuster for investigation. Following that, your claim will be either accepted, rejected, or settled in part. You will be notified by mail.

If your claim is rejected, you will have 6 months from the date of rejection to file a lawsuit against the City (Government Code 945.6). Our hope is that you will be treated fairly. If you have any questions, please call (209) 388-7100.

How to Submit:

Please return the completed claim form by US Postal mail or drop off to:

City of Merced
678 W. 18^th St.
Merced, CA 95340

Claims will not be accepted by email.

Please be sure to keep a copy for your records.