Claims Against The City Form

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Information Regarding Filing a Claim Against the City of South San Francisco

As a service to residents and visitors, the City Clerk’s Office performs the intake and routing functions involved in the City’s claims process.  Claims are resolved by the City's Risk Manager.
Claim Form


An original and one identical copy of the form entitled “Claim against the City of South San Francisco” together with attachments is to be filed with the Office of the City Clerk.  Retain one copy for your records.  You may deliver your claim in person to the Office of the City Clerk (City Hall, 400 Grand Avenue) or mail it to the following address:
Office of the City Clerk

P.O. Box
South San Francisco
, CA  94083 

NOTICE:  The City Clerk’s Office is the only office to which claims may be submitted.


Claims received by the Office of the City Clerk are processed by the Risk Manager Richard Lee.  All questions regarding your claim should be directed to Richard Lee at (650) 877-8512.

If recommended for denial by the Risk Manager, the City Clerk or her designee will send claimants a letter of notice regarding the action taken and of any further action available to you.


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