What is the Sewer Backup Notice of Claim form for?

It lets a claimant report property damage or physical injury arising from a sewage disposal or storm water system event. The packet also includes the City’s policy and claim instructions.

Who can use the Notice of Claim form?

A person seeking compensation for property damage or physical injury related to a sewage disposal or storm water system event can use the form to provide claim details.

Do I need a notary for the Sewer Backup Notice of Claim?

No. This document is signed without a notary; the claimant completes and dates the Notice of Claim form, and the packet specifies no notarized or sworn attachment.

How do I submit the Sewer Backup Notice of Claim?

The packet lists Grant City Offices, 280 S. Maple St., P.O. Box 435, Grant, MI 49327, for mailed or delivered claims. The form also lists an Attn: Doug La Fave return address at 105 S. Front Street, PO Box 435.

Grant, MI · Newaygo County

No notary required

Sewer Backup Policy and Claim Forms

Grant property owners use the Notice of Claim form to report property damage or personal injury from a sewage disposal or storm water system event.

What this form is

This packet contains the City of Grant’s sewer backup policy, claim instructions, and a Notice of Claim form for reporting property damage or personal injury from a sewage disposal or storm water system event. The policy says claimants must immediately notify the City and provide written notice within 45 days after discovering the backup or overflow, or when reasonable diligence should have led to its discovery. The form asks for claimant and affected-property details, a brief description, and the discovery date.

Who needs it

Property owners seeking to claim damages or physical injury from a sewage disposal or storm water system event use the Notice of Claim form.

How to submit it

The packet lists Grant City Offices, 280 S. Maple St., P.O. Box 435, Grant, MI 49327, for mailed or delivered claims, and the form lists Attn: Doug La Fave, 105 S. Front Street, PO Box 435, Grant, MI 49327, as its return address.

About notarization

This document is signed without a notary; the claimant completes and dates the Notice of Claim form, with no notarized or sworn attachment specified.

How to submit this form

1
Download The Claim Packet
Download the packet containing the sewer backup policy, claim instructions, and Notice of Claim form.
2
Complete The Notice Of Claim
Provide your name, date, address, telephone number, affected-property address, a brief claim description, and the date you discovered the damage or injury.
3
Review The Claim Instructions
Read the packet’s instructions about immediate notification and written notice within 45 days after discovery, or when reasonable diligence should have led to discovery.
4
Return The Claim To The City
Mail or deliver the claim using an address listed in the packet: Grant City Offices, 280 S. Maple St., or Attn: Doug La Fave, 105 S. Front Street.

Frequently asked questions

What is the Sewer Backup Notice of Claim form for?: It lets a claimant report property damage or physical injury arising from a sewage disposal or storm water system event. The packet also includes the City’s policy and claim instructions.
Who can use the Notice of Claim form?: A person seeking compensation for property damage or physical injury related to a sewage disposal or storm water system event can use the form to provide claim details.
Do I need a notary for the Sewer Backup Notice of Claim?: No. This document is signed without a notary; the claimant completes and dates the Notice of Claim form, and the packet specifies no notarized or sworn attachment.
How do I submit the Sewer Backup Notice of Claim?: The packet lists Grant City Offices, 280 S. Maple St., P.O. Box 435, Grant, MI 49327, for mailed or delivered claims. The form also lists an Attn: Doug La Fave return address at 105 S. Front Street, PO Box 435.

Need something notarized?

This Sewer Backup Policy and Claim Forms doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.