Fremont, MI · Newaygo County
Notice of Claim
Fremont residents use this form to report property damage or personal injuries resulting from a sewage disposal or stormwater system event.
What this form is
The Notice of Claim provides written notice to the City of Fremont about property damage or personal injuries resulting from a sewage disposal or stormwater system event. It asks for claimant and property details, the event description, damage amounts, and insurance information. The form also lists documents to provide to assist the city’s investigation.
Who needs it
An individual who suffered property damage or personal injuries from a sewage disposal or stormwater system event can use this form to notify the city.
How to submit it
Return the completed form to City of Fremont, 101 E. Main Street, Fremont, MI 49412, Attention: Todd M. Blake, City Manager.
About notarization
This form is completed without a notary; it lists no notarized or sworn attachment, and asks for the claimant’s name and date.
How to submit this form
- 1
Download the Form
Download the City of Fremont Notice of Claim PDF.
- 2
Complete the Form
Provide claimant and property details, describe the event and damage or injuries, and answer the insurance questions.
- 3
Gather Supporting Documents
For property damage, gather the items listed in the checklist, including photos, receipts, and insurance claim documents.
- 4
Return the Form
Send the completed form to the City of Fremont address shown on the form, attention to the City Manager.
Frequently asked questions
- What is the Fremont Notice of Claim used for?
- It provides written notice to the City of Fremont about property damage or personal injuries resulting from a sewage disposal or stormwater system event.
- What attachments should I provide?
- For property damage, the checklist asks for insurance policy declaration pages, clear damage photos, receipts for damaged items or repairs, and proof of an insurance claim with payment or denial correspondence.
- Do I need a notary for the Notice of Claim?
- No. The form lists no notarized or sworn attachment and asks for the claimant’s name and date.
- How do I submit the Notice of Claim?
- Return the completed form to City of Fremont, 101 E. Main Street, Fremont, MI 49412, Attention: Todd M. Blake, City Manager.
Need something notarized?
This Notice of Claim doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.