File a Claim Against the Community Development Authority (CDA)

Please answer all items fully and to the best of your knowledge. Failure to do so may result in your claim being found insufficient.

If you have any questions about this form, please contact us at (608) 261-9668. Our office hours are Monday – Friday, 8:00 am – 4:30 pm.

Incident Information
Please state all the facts that support your claim, and why you believe the City of Madison is responsible.
Specify month, day, year, and time if possible.
Include a street address and additional location details if possible.
Please list names and contact information.
Police Wrapper
Enter Report Number if a police report was filed.
For example, City of Madison Police, UW Police.
Damages
$
List all damages including estimates for repair costs, or attach a list below.
Attachments

Upload up to five (5) documents or images supporting your claim. Please include:

  • Photos, drawings, or any other supporting documents.
  • A complete list of damages, including estimates for repair costs and other relevant information (if not specified under Damage Details).

If you have more than five documents to upload, or if any documents are larger than 10 MB, please email claims@cityofmadison.com with any additional attachments.

Attachments

Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.

Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.
Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.
Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.
Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.
Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, and xlsx. Maximum file size: 10 MB.
Contact Information
Enter information of the person making the claim (claimant).
Please include first, middle, and last name.
Mailing Address