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Get CA Claim for Damages to Person or Property 2008-2024

His office needs the original completed claim form and clear readable copies of attachments (if any) if originals are not available. 4. This claim form must be signed. DELIVER OR U.S. MAIL TO: C L E R K O F T H E B O A R D O F S U P E R V I S O R S ATTN: CLAIMS DIVISION P.O. BOX 1628, 4080 LEMON ST, 1ST FL. RIVERSIDE, CA. 92502-1628 (951) 955-1060 1. FULL NAME OF CLAIMANT TIME STAMP HERE 8. WHY DO YOU CLAIM THE COUNTY IS RESPONSIBLE? 2. MAILING ADDRESS (STREET/P O BOX) CITY STATE ZIP CO.

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