Last updated: 6/8/2018
Government Claim-Judicial Branch {SIE-0019}
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Description
SIE-0019 - GOVERNMENT CLAIM—JUDICIAL BRANCH. This form is used to submit a monetary claim against the California judicial branch or a court-related entity for alleged injury, property damage, loss, or other harm. Claimants use the form to provide details about the incident, explain the basis for the claim, identify involved court personnel if known, and state the amount of damages being sought. The form also requests witness information, supporting documentation, and an indication of whether the matter may proceed as a limited or unlimited civil case. Government Code section 910.4. www.FormsWorkflow.com





