Claims and Public Record Request Forms

How to Seek a Record or File a Claim

Public Records Request

The city clerk maintains all public records.
To request a public record, submit a Public Record Request Form (PDF). Form may be submitted by email to

How to File a Claim

1. Download the Claim for Damages Form (PDF) or contact Risk Management at (714) 993-8249 or e-mail to request that a form be sent to you.  You may also pick up a claim form at City Hall.

2. Submit your original claim form and any supporting documents in-person or by mail to the address below.

City of Placentia
Attn: City Clerk
401 E. Chapman Avenue
Placentia, CA 92870

Monday - Thursday
7:30 a.m. - 6:00 p.m.

3. If you have any questions regarding the claims process, please contact Risk Manager, Krystle Murillo, at (714) 993-8249.

You may also fax public record requests to City Hall at (714) 961-0283. Claims will not be accepted via fax or e-mail.