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Appendix A
Sample letter requesting tort form claim

[Your complete mailing address]

[Date]

County Clerk
Board of Supervisors
County of [ ]
[Address]

Dear Sir/Ms.:

Could you please send me your current Claim Against the County form for the purpose of filing a tort claim. Also, please send me information on the amount of the filing fee, procedures for filing the claim, and the number of copies of the claim in addition to the original required for filing.

Thank you very much for your assistance.

Sincerely,

[Your name]