This is an electronic form which will be submitted directly to the El Mirage City Clerk. You may also print this form and mail or email to Office of the City Clerk, City of El Mirage, 10000 N. El Mirage Road, El Mirage, AZ 85335.
Phone: (623) 876-2943
TDD: (623) 933-3258
(Must be filed within 180 days of incident)
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