Cloquet, Minnesota
Insurance Claims


To file a claim against the City, fill out the General Liability Loss Claim Form.  Include all proof necessary to show negligence on the part of the City.

  • Complete the claim form as fully as possible.
  • Attach additional sheets if you need more space for explanation of the event.
  • Enclose copies of expenses for which you seek reimbursement.
  • If your vehicle was damaged and you seek reimbursement, enclose an estimate of repair.
  • Attach a police report, if one exists.
  • Sign the form.
  • Keep copies of everything for your records.
  • Return the form and attachments to:

City Administrator
City of Cloquet
1307 Cloquet Avenue
Cloquet MN 55720

Upon receipt of the form and supporting information, it will be submitted to the insurance carrier. The insurance carrier will make the determination for payment and contact you by letter with the decision.

Claim Forms: