File A Claim

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The City of Hercules makes every effort to respond promptly to claim requests. All individuals must submit a completed claim request form in order for the claim to be investigated.

Please submit your completed claim form along with other related documention to:

City of Hercules
111 Civic Drive
Hercules, CA 94547
Attention: Lori Martin, Administrative Services Director

Personal service of claims can be accomplished during regular City business hours of 8:00 a.m. to 5:00 p.m., Monday through Thursday (excluding City Holidays). 

City of Hercules Claim Request Form

For questions or to find out the status of your claim, please contact Lori Martin at (510) 799-8215, or by email at