City of Bismarck On-Line Claim Form

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Convert to PDF?
(GIF, JPG, JPEG, PNG, DOC, DOCX, XLS, XLSX, TXT)

Convert to PDF?
(GIF, JPG, JPEG, PNG, DOC, DOCX, XLS, XLSX, TXT)
If you need to send paperwork via mail, send to:
Office of City Attorney
PO Box 5503
Bismarck ND 58506-5503
By submitting this claim form, I understand that I am asking the City of Bismarck to consider my claim for reimbursement.
The City will be reviewing the incident to determine whether it will offer payment to you for the loss.
 
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