Please read the entire Damage Incident Report before completing. This form should be filed with the City Recorder at the City of Oregon City as soon as possible after the date of the occurrence, giving rise to the claim for damages or relief. Cooperation in completing this form will expedite claim processing.

Complete the online form or download the form below.

If you have any questions, please contact the City Recorder at 503-496-1505 or nide@orcity.org.

PLEASE ATTACH ESTIMATES, PHOTOS, AND ANY OTHER DOCUMENTATION WITH THIS CLAIM FORM.

Instructions for completing attached diagram of the incident:

• For all accident claims, place on attached diagram the names of streets, indicating North, East, South, and West.
• Indicate place of accident by “X” and by showing house numbers or distance to street corners.
• If City vehicle was involved, designate by letter “A” location of City vehicle when you first saw it, and by “B” location of yourself or your vehicle when you first saw City vehicle.
• Location of City vehicle at the time of the accident by “A1” and location of yourself or your vehicle at the time of the accident by “B1” and the point of impact by “X.”

NOTE: If diagram does not fit this situation, attach a proper diagram signed by claimant.