Government Claim-Judicial Branch {ADM-162}

ADM-162 - GOVERNMENT CLAIM—JUDICIAL BRANCH. This form is used to file a claim against the court or another judicial branch entity for damages, injuries, losses, or obligations resulting from an incident. The form collects information about the claimant, incident details, the amount claimed, supporting documentation, witnesses, and any additional relevant information. If applicable, it allows for the appointment of an authorized representative. The form must be signed and submitted to the Court Executive Officer (Claims) at the Superior Court of California, County of San Diego. Government Code section 910.4. www.FormsWorkflow.com