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2. Filing a Claim
   
   Claim Information
   
   To start a claim, please provide the required information below. Once the information has been submitted, the Risk Management Officer will contact you within five (5) business days to proceed with your claim.
   
   The City of Laramie is held to the rules and procedures of the Governmental Claims Act.
   
   All claims are forwarded to the Wyoming Association of Risk Management (WARM) self-insurance liability pool for processing and determination.
4. First Name*
5. Last Name*
7. Mailing Address*
9. Mailing Address Line 2
11. City*
12. State*
14. Zip Code*
15. Telephone Number*
17. Email Address
19. Address Where The Incident Occurred*
21. Brief Description Of The Incident*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

* indicates a required field