Oak Park, IL · Cook County
Village of Oak Park Claim Form
Oak Park residents use this form to submit a claim to the Village for personal injury or property damage and provide information for its review.
What this form is
Use this form to submit a personal injury or property damage claim to the Village of Oak Park. It asks for claimant and incident details, a description of the damage or injury, and the amount claimed. A police report number and two damage estimates must accompany the form; injury claims should include medical reports and bills. The Village investigates and notifies claimants of its decision in writing.
Who needs it
A person seeking compensation from the Village of Oak Park for personal injury or property damage can submit this form.
How to submit it
The form lists the Village of Oak Park at 123 Madison Street, Oak Park, Illinois 60302, and provides a fax number and email address. Include the required police report number and two damage estimates.
About notarization
This document does not require a notary; the claimant signs and dates it and declares under penalty of perjury that the information is true and correct.
How to submit this form
- 1
Download The Claim Form
Download the Village of Oak Park Claim Form.
- 2
Complete The Form
Enter claimant information, incident details, a description of the damage or injury, and the amount claimed.
- 3
Gather Supporting Documents
Include a police report number and two damage estimates. For personal injury claims, attach copies of medical reports and bills.
- 4
Sign And Submit
Sign and date the form, then use the Village address, fax number, or email listed on the form.
Frequently asked questions
- What does the Village of Oak Park claim form cover?
- The form is for claims against the Village for personal injury or property damage. It asks for incident details, the extent of the damage or injury, and the amount claimed.
- What documents must accompany a claim?
- A police report number and two damage estimates must accompany the form. For personal injury claims, the form also asks for copies of medical reports and bills.
- How do I submit the Village of Oak Park claim form?
- The form lists the Village's address, fax number, and email address. It does not specify a required submission method; include the required supporting information with your claim.
- Do I need a notary for the Village of Oak Park claim form?
- No. The claimant signs and dates the form and declares under penalty of perjury that the information is true and correct; no notary is required.
Need something notarized?
This Village of Oak Park Claim Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.