Summary
Claims for money are made by submitting a claim form to the Clerk of the Board of Supervisors.
- Download, print and complete the claim form below.
- Provide any additional pages as needed.
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Submit the completed form and supporting documents by mail or in-person to
The Clerk of the Board of Supervisors
3501 Civic Center Drive, Room 329
San Rafael, CA 94903
View the document
This document may not work with all assistive technology and is being remediated. For alternative formats, please email Carla Kacmar or phone 415-473-7355. To use the California relay service, dial 711.