General Claim Form {G25081}

G25081 - GENERAL CLAIM FORM. This form is used in the Superior Court of California, County of Yuba by individuals or vendors to request reimbursement or payment for goods or services provided to the court. The form requires the claimant to provide identifying information, including their name, Social Security or Tax ID number, vendor number, address, and contact details. It also includes an itemized section to list the date, quantity, description, unit price, and total cost of the services or items provided. By signing the form, the claimant certifies under penalty of perjury that the goods or services were delivered, that no duplicate reimbursement has been claimed from another agency, and that the information is accurate. Court personnel then review the form to confirm that the goods or services were authorized and received before approving payment. www.FormsWorkflow.com