Header_Include
Site Map | Search | Phone Directory | Departments | Services

About Us
Risk Management
Administration Division
Claims Division
Environmental Division
Safety Division
 

Loss Forms

  Maricopa County Employees Only
Property Loss
General Liability
Auto Loss
Workers Comp
OSHA Report
Accident Report
Work Exposure to Bodily Fluids
 

Other Information
Policies & Procedures
Directory
 

 

For Vehicle, Property and Liability Claims call: 602-506-2298
For Unemployment and Workers' Compensation Claims call: 602-506-8041
Fax: 602-506-5939

 About Risk Management - Claims Division

The Risk Management Claims Division manages all Maricopa County property, vehicle, unemployment and workers' compensation claims, and liability claims filed against Maricopa County and its employees. The Claims Division is staffed with four full-time adjusters, a manager, and support staff.

Claims are investigated and evaluated, then either paid or denied on their merits. Litigated claims are assigned to counsel for assistance in such claims' defense. The Claims Division works with assigned attorneys to obtain the most favorable result possible for Maricopa County and its citizens. We are committed to fairly and reasonably settling claims owed while vigorously defending claims without merit.

 Links to Maricopa County's Claim Forms

Risk Management continually enhances its claim processes and procedures, and provides training and education to Maricopa County departments.

To obtain a notice of claim form*, available as either an Adobe PDF file or a Word Document, click on one of the following:

Claims Form - PDF (requires Acrobat Reader, click on the link below to be directed to Adobe)
Claims Form - Word

   * This form must be printed and delivered to the address listed on the form

If you claim is in regards to a road condition, complete the Road Condition Supplement and mail it in with your Notice of Claim form.
Road Condition Supplement - PDF
Road Condition Supplement - Word


For an 'on-the-job' injury, please click on the following link:
Click here for Industrial Injury Forms
Click here for Information on Reporting Fatalities
   * This information is only for Maricopa County Employee's

For more information regarding Workers' Compensation, please click
"HERE"

Some documents require Adobe Acrobat Reader. Click here to get it.

Last updated: 27 Mar 2012, jld


  Maricopa Home      Site Map      Legal Information      Privacy/Security Policies
Maricopa County Home Page
Maricopa County || 301 W. Jefferson St. || Phoenix, AZ 85003
602-506-3011