Auburn Hills, MI · Oakland County

No notary required

Notice of Claim Form

This form lets people report a claim for damage or physical injury arising from a sewage disposal or storm water system event to the City of Auburn Hills.

What this form is

Use this form to provide information about a claim for damage or physical injury arising from a sewage disposal or storm water system event. It asks for the claimant’s contact details, affected property address, a brief description, and the date the damage or injury was discovered. For sewage disposal event damage or injury, the form states that written notice must be provided within 45 days after the damage or injury, or its discovery through reasonable diligence.

Who needs it

Anyone making a claim for damages or physical injury arising from a sewage disposal or storm water system event should provide this information.

How to submit it

Return the completed form and any relevant information, such as photos or expenses incurred, to the City of Auburn Hills, Attn: Public Utilities Manager, 1500 Brown Rd, Auburn Hills, MI 48326.

About notarization

This form has no notary block; it asks for a date, and no notarized or sworn attachment or related step is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Auburn Hills Notice of Claim Form PDF.

  2. 2

    Complete The Form

    Provide your name, date, address, phone number, affected property address if different, claim description, and discovery date.

  3. 3

    Gather Relevant Information

    Attach any relevant information, such as photos or expenses incurred.

  4. 4

    Return The Form

    Return it to the City of Auburn Hills, Attn: Public Utilities Manager, 1500 Brown Rd, Auburn Hills, MI 48326.

Frequently asked questions

What does the Auburn Hills Notice of Claim Form report?
It provides information about a claim for damages or physical injury arising from a sewage disposal or storm water system event, including claimant and affected property details.
How do I submit the Notice of Claim Form?
Return the completed form and relevant information, such as photos or expenses incurred, to the City of Auburn Hills, Attn: Public Utilities Manager, at 1500 Brown Rd, Auburn Hills, MI 48326.
Do I need a notary for the Notice of Claim Form?
No. The form has no notary block and asks for a date; it does not mention any notarized or sworn attachment or related step.
When does the form say written notice is due?
For damage or injury resulting from a sewage disposal event, the form says to provide written notice within 45 days after the damage or injury, or when it should have been discovered through reasonable diligence.

Need something notarized?

This Notice of Claim Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.