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Damage Injury Claim Form

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Please be specific , refer to landmarks, direction of travel, lane, distance from closest intersection or reference point, etc.

Files must be less than 2.00 MB
Allowed file types: gif, jpg, png, bmp, pdf, doc, docx

Files must be less than 9.77 MB
Allowed file types: gif, jpg, png, bmp, txt, rtf, html, pdf, doc, docx, xls, xlsx


The personal information required in this form is collected under the authority of Section 24 of The Local Authority Freedom of Information and Protection of Privacy Act. Any personal information collected by the City will be managed in accordance with the City’s Privacy Policy.