Gibraltar, MI · Wayne County
Sewer Back-Up Claim Form
Gibraltar residents use this Notice of Claim to report property damage or physical injury resulting from a sewage disposal system event and seek compensation.
What this form is
The City of Gibraltar Department of Water & Sewer Notice of Claim lets a person report property damage or physical injury resulting from a sewage disposal system event. The form says written notice must be filed within 45 days after the damage or injury was discovered, or should have been discovered through reasonable diligence. It asks for claimant and property details, the loss dates, and descriptions of the sewer backup and damage.
Who needs it
Anyone seeking to make a claim for property damage or physical injury resulting from a sewage disposal system event should complete and file this notice.
How to submit it
Return the completed form to the City of Gibraltar Department of Water & Sewer, 29450 Munro, Gibraltar, MI 48173. The document says written notice must be filed within 45 days after discovery, or when the damage or injury should have been discovered through reasonable diligence.
About notarization
This document has no notary block; the signer just signs and dates it, and the claim form does not identify a separate attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Form
Download the City of Gibraltar Notice of Claim.
- 2
Complete the Claim Details
Provide your contact information, loss and discovery dates, affected property address, and descriptions of the sewer backup and damage.
- 3
Gather Supporting Items
Include copies of relevant bills, a list of damaged items and receipts showing their ages, and pictures of claimed damage if possible.
- 4
Return the Form to the City
Send the completed notice to the City of Gibraltar Department of Water & Sewer at 29450 Munro, Gibraltar, MI 48173.
Frequently asked questions
- What is the Sewer Back-Up Claim Form for?
- It is a Notice of Claim for property damage or physical injury resulting from a sewage disposal system event. It asks for claimant and property details, loss dates, and descriptions of the backup and damage.
- What documents should I include with my claim?
- The form requests copies of receipts for cleaning, plumbing, or other bills; a list of damaged items and receipts showing their ages; and, if possible, pictures of claimed damage.
- Do I need a notary for the Sewer Back-Up Claim Form?
- No. The document has no notary block; the signer just signs and dates it. It does not identify a separate attachment or related step that must be notarized or sworn.
- How do I submit the Sewer Back-Up Claim Form?
- Return it to the City of Gibraltar Department of Water & Sewer, 29450 Munro, Gibraltar, MI 48173. The form says to file written notice within 45 days after discovery, or when it should have been discovered.
Need something notarized?
This Sewer Back-Up Claim Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.