File a Claim with the City

Were you injured on City property or by a City vehicle? Did you hit a pothole and damage your vehicle? Was there a sewage backup into your basement? You may be eligible for a reimbursement of expenses for any of these situations.

Keep in mind:

As part of the claims process, you must contact your insurance company to verify any coverage.

Online Form

Gather the proof for your claim

Before completing the form, make sure you have the following documentation ready to submit:

Vehicle Damage Claim

  • Police Report
  • Copy of Vehicle Registration & Title
  • Insurance Declaration Page
  • Repair Estimates
  • Receipts
  • Photos

Home Damage Claim

  • Copy of Homeowners Insurance Declaration Page
  • Repair Estimate(s)
  • Receipt(s)
  • Photos
  • Please note all sewer backup claims must be filled out and returned within 45 days of the sewer backup or 45 days from when you first discovered the backup

More Info: Home Damage Claim Letter(PDF, 274KB)

 Personal Injury Claim

  • Medical Report
  • Medical Bills
  • Photos

Financial Loss

  • Receipt(s)
  • City Documents you may have
  • Banking statement(s)

Pothole Claim

We only cover vehicle damage from potholes if the pothole you hit was reported to the City at least 30 days ago. Call us to find out if you're eligible. Our number is in the Contact Us section of this page

Fill out the online claim form

File a Claim Online in English

We'll review your claim

We'll conduct a thorough investigation and then notify you of the outcome in writing. You can expect a response in 2-3 weeks. Keep in mind that submitting this form does not guarantee payment

Paper Form

Gather the proof for your claim

Before completing the form, make sure you have the following documentation ready to submit:

Vehicle Damage Claim

  • Police Report
  • Copy of Vehicle Registration & Title
  • Insurance Declaration Page
  • Repair Estimates
  • Receipts
  • Photos

Home Damage Claim

  • Copy of Homeowners Insurance Declaration Page
  • Repair Estimate(s)
  • Receipt(s)
  • Photos
  • Please note all sewer backup claims must be filled out and returned within 45 days of the sewer backup or 45 days from when you first discovered the backup

More Info: Home Damage Claim Letter(PDF, 274KB)

 Personal Injury Claim

  • Medical Report
  • Medical Bills
  • Photos

Financial Loss

  • Receipt(s)
  • City Documents you may have
  • Banking statement(s)

Pothole Claim

We only cover vehicle damage from potholes if the pothole you hit was reported to the City at least 30 days ago. Call us to find out if you're eligible. Our number is in the Contact Us section of this page

Print and fill out the claim form

Need help completing the form? Call us at the phone number listed in the Contact Us section

Mail or email your form to us

Mail or email your form to us at the street address or email address listed in the Contact Us section

We'll review your claim

We'll conduct a thorough investigation and then notify you of the outcome in writing. You can expect a response in 2-3 weeks. Keep in mind that submitting this form does not guarantee payment

Phone

Gather the proof for your claim

Before completing the form, make sure you have the following documentation ready to submit:

Vehicle Damage Claim

  • Police Report
  • Copy of Vehicle Registration & Title
  • Insurance Declaration Page
  • Repair Estimates
  • Receipts
  • Photos

Home Damage Claim

  • Copy of Homeowners Insurance Declaration Page
  • Repair Estimate(s)
  • Receipt(s)
  • Photos
  • Please note all sewer backup claims must be filled out and returned within 45 days of the sewer backup or 45 days from when you first discovered the backup

More Info: Home Damage Claim Letter(PDF, 274KB)

 Personal Injury Claim

  • Medical Report
  • Medical Bills
  • Photos

Financial Loss

  • Receipt(s)
  • City Documents you may have
  • Banking statement(s)

Pothole Claim

We only cover vehicle damage from potholes if the pothole you hit was reported to the City at least 30 days ago. Call us to find out if you're eligible. Our number is in the Contact Us section of this page

Call us to complete the Claim Form

Need help completing the form? Call us at the phone number listed in the Contact Us section

We'll review your claim

We'll conduct a thorough investigation and then notify you of the outcome in writing. You can expect a response in 2-3 weeks. Keep in mind that submitting this form does not guarantee payment

In Person

Gather the proof for your claim

Before completing the form, make sure you have the following documentation ready to submit:

Vehicle Damage Claim

  • Police Report
  • Copy of Vehicle Registration & Title
  • Insurance Declaration Page
  • Repair Estimates
  • Receipts
  • Photos

Home Damage Claim

  • Copy of Homeowners Insurance Declaration Page
  • Repair Estimate(s)
  • Receipt(s)
  • Photos
  • Please note all sewer backup claims must be filled out and returned within 45 days of the sewer backup or 45 days from when you first discovered the backup

More Info: Home Damage Claim Letter(PDF, 274KB)

 Personal Injury Claim

  • Medical Report
  • Medical Bills
  • Photos

Financial Loss

  • Receipt(s)
  • City Documents you may have
  • Banking statement(s)

Pothole Claim

We only cover vehicle damage from potholes if the pothole you hit was reported to the City at least 30 days ago. Call us to find out if you're eligible. Our number is in the Contact Us section of this page

Fill out the Claim Form

Download the English version here

Don't have a printer? Don't worry! You can complete the form at our office

Visit our office

We are located at City Hall and our address is listed in the Contact Us section

We'll review your claim

We'll conduct a thorough investigation and then notify you of the outcome in writing. You can expect a response in 2-3 weeks. Keep in mind that submitting this form does not guarantee payment 

Contact Us

Phone

311 or 616-456-3000

Fax

616-456-3520

Email

sponcil@grcity.us

Location

City Hall - Risk Management Office
300 Monroe Ave NW Suite 869
Grand Rapids
49503
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