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2. 

3. Please complete and return to:

   City of Marshall Finance Department 

   Attention: Risk Management

   (903) 935-4447

   Claims.Risk@marshalltexas.net

   
   

   You may return this form to the Finance Department in City Hall at 401 S. Alamo Blvd. If returning by mail, please send to P.O. Box 698 Marshall, TX 75671.

5. Please make sure to include all photos and information when submitting this claim
7. Name
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
17. Date of Accident or Loss
    Date of Accident or Loss
19. Location of Accident or Loss
21. Description of Accident or Loss
23. Please complete this section if the claim is related to damage to an automobile or an automobile accident
25. Year
26. Make
27. Model
29. Vehicle Identification Number (VIN)
31. Description of Damage
33. Please include photos or other documentation
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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