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Claim for Damage

  • Ada County

    NOTICE OF CLAIM BY CITIZEN TO ADA COUNTY

    Your claim must be filed and received by Ada County no later than 180 days from the date of the incident.

  • PERSONAL INFORMATION

  • CLAIM INFORMATION

  • In compliance with Title 6, Chapter 9, Idaho Code, the undersigned hereby presents a claim against Ada County for damages arising out of an occurrence which happened as follows:

  • MM slash DD slash YYYY
  • :
  • Person(s) Involved and/or Witnesses of Damage and/or Injury:
  • PROPERTY DAMAGE (IF APPLICABLE)

  • PERSONAL INJURY (IF APPLICABLE)

  • MM slash DD slash YYYY
  • Ada County 200 W. Front St. Boise, Idaho 83702