Fillable NOTICE OF CLAIM AGAINST MILWAUKEE COUNTY (City of Milwaukee)

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NOTICE OF CLAIM AGAINST MILWAUKEE COUNTY (City of Milwaukee)

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NOTICE OF CLAIM
AGAINST MILWAUKEE COUNTY
Name:
Address:
Telephone:
Date of
Accident/Loss:
Count
y Department Involved:
Dollar A
mount Claimed: $
Brief
ly state the facts of the accident/loss (include additional pages if necessary along
with any supporting documentation/information; do not staple):
Signature:
Date:
Submit Claim to: George L. Christenson, Milwaukee County Clerk
Milwaukee County Courthouse, Room 105
901 North Ninth Street
Milwaukee, WI 53233
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NOTICE OF CLAIM AGAINST MILWAUKEE COUNTY (City of Milwaukee)

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Completed 18 July 2020

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