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Claims Against Saratoga

  1. Claims must be filed according to Government Code Section 900 et.seq.

  2. (Attach copies of bills/estimates)

  3. If amount is more than $10,000, indicate where jurisdiction rests:

  4. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  5. Address to which notices are to be sent (if different from above):

  6. Leave This Blank:

  7. This field is not part of the form submission.