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Online Tort Claim Submission Form

Download Paper Claim Form

Claims with the City of Albuquerque can be filed on paper, too.

Questions

Have questions about the tort claims process? Contact us.

Starting a Claim

The best place to start your claim is with your insurance provider. They have expertise to manage the process and mitigate your damages in a timely manner.

Claims with the City of Albuquerque

To file directly with the City:

Please return paper forms to the Office of the Mayor:

P.O. Box 1293
Albuquerque, NM 87103

All notices must have correct information to be investigated in a timely manner.

Claims Deadline: 90 Days

Per N.M. Tort Claims Act, cases must be filed within 90 days of the original incident.

Claims filed after the 90-day deadline are denied.

Online Claim Form

Fields with a red dot are mandatory.

Loss and Submission Information

Please enter the date of the incident. Not the time of completing the form.
Enter the time the loss occurred. Include AM or PM.

Claimant Information

Enter the information for the person making the claim.

Enter the last name of the person making the claim.
Enter the first name of the person making the claim.
Select the date of birth for the person making the claim.
If this claim is for a business enter the business name.
Enter the street and number, or PO Box of the mailing address for the claimant.
Enter the city of the mailing address for the claimant.
Enter the state of the mailing address for the claimant.
Enter the zip code of the mailing address for the claimant.
Enter the phone number for the claimant. Include area code (e.g. 505-555-5555).
Enter the email address for the claimant.

Contact Information

Only fill out this section if different from claimant i.e.attorney represented, insurance company.

Provide contacts last name.
Provide contacts first name.
Enter the name of the contact's business.
Enter the claim number from this incident.
Enter the street and number or PO box of the mailing address for the contact.
Enter the city of the mailing address for the contact.
Enter the state of the mailing address for the contact.
Enter the zip code of the mailing address for the contact.
Enter the phone number for the contact. Include area code (e.g. 505-555-5555).
Enter the email address for the contact.

Incident Information

Enter the manufactured year of the damaged vehicle.
Enter the make of the damaged vehicle.
Enter the model of the damaged vehicle.
Enter the license plate number of the damaged vehicle.
Describe the type of City vehicle involved in the incident.
By checking this box, you acknowledge that the information you are submitting is true and accurate.