File a Claim

Below is a fillable pdf version of the City of Lee’s Summit Comprehensive Claim Form. Please complete and sign the form. Provide as much detail regarding all aspects of the claim as possible. You must provide supporting documentation, such as pictures, video, receipts, and other similar documents supporting your claim. Claims submitted without (i) sufficient details of the claim (both what occurred, how it occurred and any damages being requested) and (ii) supporting documentation will be denied by the City as incomplete.

If you have questions about filing a claim with the City of Lee's Summit, please contact the Contract Compliance Coordinator/Paralegal at 816.969.1402.

Email the completed Claim Form and supporting documentation to the > Contract Compliance Coordinator/Paralegal.

Comprehensive Claim Form