Claim Form

Please download and complete the claim form below. Bring the completed form to the Human Resources Department at the City of Montebello.

Monday through Thursday
7:30 a.m. – 5:30 p.m.

City of Montebello
1600 W. Beverly Blvd.
Montebello, CA 90640

Risk Management
323-887-1435 Phone
323-887-4667 Fax

Filename Size
An Adobe Acrobat fileMontebello-Claim-Form.pdf 71.11 KB

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