Skip to main content

How to file a claim?

What should I do when someone wants to file a Liability claim against my district?

The CAPRI Claims Manual provides detailed instructions on how to handle a Liability claim made against the district. Exhibit F in the claims manual should be provided to the claimant to assist them if filing a formal claim. Please note that all claims received by the district should immediately be forwarded to:

Matthew Duarte
Executive Director
1075 Creekside Ridge Drive, Suite 240
Roseville, CA 95677
(916) 722-5550
Fax: (916) 722-5715


How do I file a Workers’ Compensation claim?

Within 24 hours of an employee being injured on the job, the district must provide the employee with a DWC-1 notice, the district must complete the Employer portion of DWC-1, Form 5020, and the Supervisor’s Report of Injury.

Fax or email above forms to:

Sally Town
Workers’ Compensation Claims Examiner
Phone: 916.960.0969


What should I do if my district sustains a Property Loss?

The district must notify CAPRI within 72 hours following your discovery of the loss. The district must also complete the Property Loss Notice Form (Exhibit S in the CAPRI Claims manual) and forward it to the CAPRI office. If the loss was the result of a criminal act (theft, vandalism, arson, etc.) or vehicle accident, provide CAPRI with a copy of the police report. After the damage has been repaired, organize and forward the paid invoices to the CAPRI office for payment.