This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.
Declaratory Judgment Action For Damages In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-000279
Format:
Word;
Rich Text
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FAQ
Claim Forms Cities are responsible for potholes on the streets within their boundaries but not on highways. Claims can be filed with the city of Los Angeles here. Counties repair streets in unincorporated areas and some smaller cities. Los Angeles County provides a claim form here.
To file a claim with the city, visit the Los Angeles City Clerk's website at clerk.lacity and click on the “File a Claim” tab at the top of the homepage. That will take you to another page with more information and forms for filing a claim.
Instructions Use one claim form for each claimant. Read claim thoroughly. Fill out claim as indicated; attach additional information if necessary. Return the original in person or US Mail to: Executive Officer, Board of Supervisors. Attention: Claims. 500 W. Temple Street, Room 383. Los Angeles CA 90012.
The state of California might reimburse you up to $10,000 in vehicle damages caused by potholes if you file within six months of the incident and successfully prove that CalTrans or its contractor knew or should have known about the pothole at the time of damage.
You will need to complete a Tort Claim and supply documents such as estimates, photos and receipts that demonstrate your claimed damages. The completed Tort Claim must be submitted to: Clerk of the Board of Supervisors, Attn: Claims Division, P.O. Box 1147, 4080 Lemon St., Riverside, CA 92502-1147, Ph. (951) 955-1060.
City of Los Angeles You can also call the clerk's office at 213-978-1133 about submitting a claim. To request that a pothole be filled, go to the city's MyLA311 website, at myla311.lacity, or their app. From there, you can submit a request for a pothole repair.
To bring a claim for declaratory judgment in a situation where a patent dispute may exist or develop, the claimant must establish that an actual controversy exists. If there is a substantial controversy of sufficient immediacy and reality, the court will generally proceed with the declaratory-judgment action.
Another reason for insurers to pursue a declaratory judgment is that it allows the insurance carrier to “set the table” for the litigation. The insurer gets to tell their side of the story first and introduce key aspects of the dispute to their advantage.
In addition to economic damages, individuals can also seek compensation specifically for emotional distress caused by governmental actions or negligence.