Modified items

Enter the zip code of the mailing address for the claimant.

Enter the state of the mailing address for the claimant.

Enter the city of the mailing address for the claimant.

Enter the zip code of the mailing address for the contact.

Enter the state of the mailing address for the contact.

Enter the city of the mailing address for the contact.

Enter the email address for the contact.

Enter the phone number for the contact. Include area code (e.g. 505-555-5555).

Enter the street and number or PO box of the mailing address for the contact.

Enter the name of the contact's business.

Enter the claim number from this incident.

Provide contacts last name.

Enter the street and number, or PO Box of the mailing address for the claimant.

Enter the first name of the person making the claim.

Enter the information for the person making the claim.

Enter the last name of the person making the claim.

Post Covid Bomb Exhibition

Poster for Post Covid Bomb Exhibition.

A PDF of the City of Albuquerque Claim Form. Updated June 4, 2024.

Opioid input process--Spanish

A flier with a bullhorn at the top and a woman holding a QR code on a sign. The flier reads, in Spanish: Queremos escuchar sus opiniones! Tiene ideas sobre cómo parar la epidemia de opiodes en el Condado del Bernalillo? Quiere compratir sus ideas u opiniones? Haz que su voz sea eschuchada! Escaneo el código QR para registrarse y obtener más información sobre las próximas sesiones de escucha.

Opioid input process--Enligsh

A flier with a bullhorn reads "we want to hear your opinions! Do you have ideas for how to stop the opioid epidemic in Bernalillo County? Would you like to share your ideas or solutions? Let your voice be heard! Scan the QR code to register for more information on upcoming listening sessions!"