Notice Of Tort Claim printable pdf download

Notice Of Tort Claim

NOTICE OF TORT CLAIM

GENERAL INSTRUCTIONS: Pursuant to the provisions of the New Jersey Tort Claims

Act, this Notice of Tort Claim form has been adopted as the official form for the filing of

claims against the City of Atlantic City.

The questions are to be answered to the extent of all information available to the Claimant

or to his or her attorneys, agents, servants, and employees, under oath. The fully completed

Claim Form and the documents requested shall be returned to:

Atlantic City City Hall

City Clerk’s Office, Room 704

1301 Bacharach Blvd.

Atlantic City, New Jersey 08401

NOTE CAREFULLY: Your claim will not be considered filed as required by the New

Jersey Tort Claims Act until this completed form has been filed with the City Clerk of

Atlantic City. Failure to provide the information requested, including such responses as

“To Be Provided” or “Under Investigation” will result in the claim being treated as not

being properly filed.

Timely Notice of Claim must be filed within 90 days after the incident giving rise to the

claim.

This form is designed as a general form for use with respect to all claims. Some of the

questions may not be applicable to your particular claim. For example, if your claim does

not arise out of an automobile accident, questions regarding road conditions might not be

applicable. In that event, please indicate “Not Applicable”.

If you are unable to answer any question because of a lack of information available to you,

specify the reason the information is not available to you. If a question asks that you

identify a document, it will be sufficient to furnish true and legible copy. Where a question

asks that you “identify all persons,” provide the name, address and telephone number of the

person.

If you need more space to provide a full answer, attach supplementary pages, identifying the

continuation of the answer with the number to the applicable question.

Notice Of Tort Claim