updated October 11, 2021
Filling out the Paperwork
Only pages two and three need to be completed. Below are suggestions you may find useful.
#1 - Complete the top two lines with name, phone number, and address,
then go to #3.
#3 - Enter a monetary amount (up to $10,000) that you feel the City and County of San Francisco owes you for compensation.
#3 a - Enter why you feel the CCSF owes you money.
#3 b - On "date started", the small claims department requires an
approximate month/year when you were first aware of the noise.
On "Through", enter when you stopped being affected or enter
#3 c - Enter specific expenditures if you had/have to replace
your windows, et al. If you haven't incurred costs, enter what
comes to mind that you've had to endure, such as the loss of
tranquility, sleep, concentration, the smell of fuel, et al.
#4 - Check "yes".
#5 - Check "c" - I personally enter "The cities that are in the SFO's
runway noise corridor are in San Mateo County."
#6 - Enter zip code.
#7 - Check "No".
#8 - Check "Yes". Where it says "A claim was filed on (date), look at
the letter from San Francisco. The first sentence has your
#9 - You'll probably check "No".
#10 - Check "yes" or "no".
#11 - Enter the date. Type or print your name.
After the arrow, sign your name.
PRINTOUTS: AFTER COMPLETION, PRINT OUT 3 ADDITIONAL COPIES
OF BOTH PAGES 2 AND 3.