Please submit the form below or if preferred, download a PDF fillable form from our website.
Describe in your own words, where, when, and how the damage or injury occurred. Provide names, addresses, and phone numbers of others involved or witnesses of the incident, including which City department, City vehicle unit number and City driver/operator, if known.
I hereby state all the information provided in this claim is true and correct.
400 W. King Ave. • Kingsville, Texas 78363
Phone: 361-595-8040 • Monday – Friday, 8:00 am – 5:00 pm