SUMMARY: To file a claim against the City, you must comply with 893.80(1), Wis.Stats., which says yo must
file a notice of claim with the City Of Green Bay within 120 days of the event
from which you claim damages. You may use this form to file your claim.
ATTENTION: Filing a claim against the City does not automatically guarantee reimbursement from the City. Instead, the City examines each claim on an individual basis in determining if reimbursement is legally required.
In order to obtain reimbursement for a claim against the City, you must prove that the City or its employees acted unlawfully or
negligently. Only the City Attorney or the Commom Council and the Mayor can authorize payment of a claim against the City.
Any other representations made by City employees are not legally binding on the City.
INSTRUCTIONS: Use the available areas on this form to fill in the requested information.
Attach any documents that support your claim including receipts, invoices, estimates, government reports, etc. You may also mail it to or submit it in person to: