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- Claims and Public Record Request Forms
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 jgodoy@placentia.org.
1. Download the Claim for Damages Form (PDF) or contact Risk Management at (714) 993-8249 or e-mail claims@placentia.org 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
Hours:
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.