To process your Claim Form we must have the following information:

  • Claimant Information including Name, Address, Phone, Occupation, Age, Sex, Marital Status, and Name of Spouse
  • Date and time of the incident or accident
  • Place of incident or accident (exact details)
  • Name of City employee Involved (if applicable)
  • How did this incident or accident happen? Please give full details
  • Sketch of the incident or accident (if appropriate)
  • Describe any personal injuries (attach bills)
  • Describe property and damage. Attach two or three estimates or bills.
  • Witnesses must provide: insurance information, amount of the claim, signature
  • Insurance information
  • Amount of the claim
  • Signature
  • Notarize claim form

The File a Claim Form will not be accepted without notarization.

Fill out the File a Claim Form and print it out to be notarized.

CLAIM FORM


Mail or hand deliver the form using the information below.

Mail to:

City Clerk-Treasurer
P.O. Box 308
Huntsville, AL 35804

Or, deliver the information to:

City Clerk-Treasurer Office
City Hall Third Floor
308 Fountain Circle
Huntsville, AL 35801


NOTICE:  Pursuant to Alabama Code Section 11-47-23, you may be required to file a Notice of Claim within six months of accrual. It is the sole responsibility of the claimant to ensure a Notice of Claim is received by the City Clerk-Treasurer within the applicable deadline. 

Contact
  • Phone:
    256-427-5088
  • Address:
    Clerk Treasurer Office City Hall, 3rd Floor 308 Fountain Circle, Huntsville, AL 35801 View Map
  • Email:
    Kenneth Benion City Clerk Treasurer Kenneth.Benion@HuntsvilleAL.gov
  • Hours:
    Monday – Friday, 8 a.m. – 5 p.m.
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