How do I file a claim against the City?

The Risk Management Division, in collaboration with AdminSure, the City’s Third-Party Administrator, manages the processing of personal injury, property damage, and vehicle damage claims and lawsuits filed against the City of Pomona. Please note that the acceptance of any claim forms by the City does not imply an admission of fault or liability by the City or any of its officers, agents, or employees.

If you have any questions, feel free to reach out to the Risk Management Division at 909-620-2067 or 909-620-3741.

To download the required claim form, please click on the button link provided below.

Please submit the completed form with your original signature either in person or by mail to:

City of Pomona
Attention: City Clerk's Office
505 S Garey Ave
Pomona, CA 91766                                                                                               

As with all claims, please make sure you provide any information you believe will support your claim (i.e. estimates, photographs, diagrams, etc).

Once you submit your claim, the Risk Management Division will review the documentation and forward it to AdminSure, the City’s Third-Party Administrator. If further information is required, AdminSure will contact you directly. Otherwise, they will proceed with the evaluation of your claim.

Under state law, there is a 45-day period allocated for the investigative process. Once AdminSure has gathered all necessary information, you will be notified whether your claim has been approved or denied. Please note that the City requires the original signature of the person making the claim. If a claim is denied, you will receive a written explanation detailing your legal remedies as provided by state law.