Risk Management, Portland, OR
CLAIMS FORM INSTRUCTIONS FAQ
WHAT IS THE PURPOSE OF THE CLAIMS FORMS?
Under Oregon Revised Statutes 30.275, before you can take legal action against the a governmental entity such as the City of Portland you must generally provide notice of the claim within 180 days of the act or omission you claim has caused you harm. Although specific forms are not required, City Risk has designed forms that will ensure that you have provided the information to comply with the notice requirement and will help us evaluate your claim. The “Auto Liability Claim Form” is for collisions with a City ofPortland vehicle, and the “General Liability Claim Form” is for all other claims. If you want compensation for personal injury or property damage that you think was caused by the City or our employees, you should provide written notice as soon as possible.
WHERE CAN I FIND THE FORMS?
The City’s claim forms are available on the online. We can also mail, email, or fax you a claim form. To request a form by mail, email, or fax please call the main Risk Management automated recording at (503) 823-5101 and choose 3 for “tort liability and filing a claim”. Leave a message with your name, phone and address, email address or fax number and state if this is an auto claim. You can also email us at LiabilityClaims@portlandoregon.gov.
WHAT SHOULD I INCLUDE ON THE FORM?
Any claim against the City must be presented in writing. You should enter accurate, complete information on your claim form. The completed claim form should be signed by the claimant. Please provide as much information as necessary to describe your event clearly, and explain your damages. Property damage claims may require receipts, estimates, photos, or an itemized inventory of damages. For injury claims, because of federal Medicare reporting requirements, we will need your Social Security Number. We will also need information about your treatment, and copies of medical bills. Please include those items if available. Any information provided to us will be evaluated as part of the investigation process.
HOW DO I SUBMIT THE FORM?
You may mail, email, fax, or personally deliver the completed claim form.
Mail to or personally deliver to: City Risk Management – Liability,1120 SW 5th Avenue, Room 709,Portland,OR97204.
Fax #: 503-823-6120 Email to: LiabilityClaims@portlandoregon.gov
WHAT IS THE ROLE OF RISK MANAGEMENT?
The City of Portland is self-insured for tort claims for damages. The Risk Management liability claims team receives tort claim notices submitted to the City and provides claims adjusting service for all claims against the City under the City’s self-insurance fund. Once we receive your claim form, the claim will be assigned a number and a claims adjuster who will send you written confirmation that your claim notice was received, his or her name, and direct contact information. A request by Risk Management for further information does not guarantee that your claim has been accepted for payment, nor does it mean that the City of Portland accepts liability. Please allow 45 days for the Risk Management liability team to process and investigate your claim.