County Claim Form. View eop and payment details. Address clerk of the board of supervisors 2800 w.
Claim Form Claim Form County Court
Attach any bills for medical treatment and expenses and any estimates or bills for personal property damage to the completed form. A claim form may be obtained by contacting the address or telephone number listed below. Fill out claim as indicated; The claim form must be accurately completed and signed. Address clerk of the board of supervisors 2800 w. Return the original in person or us mail to: Web claims must be filed at the following location: Web to file a claim, please complete a claim form. Attach additional information if necessary; Check prior authorization requirements by cpt code.
Attach any bills for medical treatment and expenses and any estimates or bills for personal property damage to the completed form. The claim form must be accurately completed, printed, signed and mailed or personally presented in hard copy format to the address below. Clerk of the board of supervisors Attach additional information if necessary; 2450 sacramento, ca 95814 questions regarding the claims process should be referred to: Web a claim form is available below or may be picked up at the office of the clerk of the board of supervisors. Use one claim form for each claimant; Attach any bills for medical treatment and expenses and any estimates or bills for personal property damage to the completed form. Web no claim form is required; Return the original in person or us mail to: Web claims must be filed at the following location:
