​Risk Management

Citizen Claim Services

If you have been involved in an accident and /or wish to file a claim against the City, County or Board of Education, it is necessary to submit a written claim. Please complete one of the forms below and submit it online to the Risk Management Office as directed on the form. Upon receipt of the claim, a Claims Representative will contact you. However, an investigation must be conducted into the claim before a final decision on liability and /or payment(s) will be made. This process can take 4-6 weeks or longer depending upon the nature of your claim.

Special Note: Sole authority to settle and/or pay claims rests with the Governing authorities and select personnel of the Risk Management Office. Employees are not authorized to determine liability or obligate the City, County or Board of Education for payment of a claim. Therefore, the Risk Management Office will not be obligated to provide any payment(s) toward a claim based on statements of employees prior to completion of an investigation into the claim.

Thank you for your patience and cooperation in this matter.

General Liability Claim Form

Use to report when individuals are injured or property is damaged due to actions of the City of Charlotte, Mecklenburg County, or the Board of Education. Here is were you can find General Liability Claim Form, or email claims@charlottenc.gov for a printable version.

Vehicle Claim Form

Use to report accidents or incidents involving vehicles owned by the City of Charlotte, Mecklenburg County or the Board of Education. Find the online form Auto Liability Claim Form, or email claims@charlottenc.gov for a printable version.

Medicare Beneficiary Information Request Form

Use to provide us information in accordance with MMSEA Section 111. The Centers for Medicare & Medicaid Services form(PDF, 69KB).