Government Claim-Judicial Branch (Sacramento)

GOVERNMENT CLAIM—JUDICIAL BRANCH (Government Code section 910.4). This form is used to file a claim with the Superior Court of California, County of Sacramento, for alleged injury, damages, loss, or indebtedness involving the judicial branch. The form, claimants must provide full contact information, incident details (date, time, and location), a description of the harm incurred, and the circumstances supporting the claim. The form also requests identification of any judicial branch employees involved. It requires the claimant to specify the total claimed amount, indicate whether the case would be limited or unlimited if it exceeds $10,000, and explain how damages were calculated with supporting documents. Space is provided to list witnesses and additional relevant information, and a representative may sign on the claimant's behalf. Completed forms must be delivered or mailed to the Sacramento Court Executive Officer. www.FormsWorkflow.com