Please fill out claim form completely and return the original executed form to the City Clerk's Office, 380 Civic Drive.  Additional sheets may be attached if more space is needed.  Missing information may delay the processing of your claim.

The City Clerk is the only office to which claims may be submitted.  Claims are not to be sent to the City Attorney or any other City Department.

Claims received by the City Clerk are forwarded to the City of Galt's Claims Administrator by the Human Resources Administrator.  All Claimants are then notified that action will be taken within 45 days or otherwise notified as to the claim itself.

If recommended for denial by the Administrator, your claim will then be submitted to the City of Galt for final, official rejection.  You will be sent a letter from the Human Resources Administrator or his/her designee, notifying you of the action taken and any further action necessary or available to you.