Grosse Pointe Woods, MI · Wayne County
Notice of Claim – Flood/Sewage Damage Inventory Report
Residents or business owners use this form and its damage inventory report to notify Grosse Pointe Woods of a sewage-related property damage or physical injury claim.
What this form is
This form provides written notice of a claim for property damage or physical injury arising from a sewage disposal event, and includes a required Damage Inventory Report. The claimant supplies contact details, the affected property address, the date the damage or injury was discovered, a brief claim description, and an itemized list of damaged belongings with costs and supporting documents.
Who needs it
A resident or business owner seeking compensation for property damage or physical injury arising from a sewage disposal event should complete and submit the claim documents.
How to submit it
Return all claim documents to [email protected] or mail them to City Clerk, City of Grosse Pointe Woods, 20025 Mack Plaza, Grosse Pointe Woods, MI 48236.
About notarization
This document is signed without a notary; the claimant completes and dates the form, and no notarized attachment is identified.
How to submit this form
- 1
Download the Form
Download the Notice of Claim and Damage Inventory Report PDF.
- 2
Complete the Claim
Fill in your contact details, affected property address, discovery date, and brief claim description.
- 3
Prepare the Inventory
List each damaged item and attach available supporting documents, such as receipts and photos.
- 4
Submit to the City
Return all claim documents to [email protected] or mail them to the City Clerk at the address on the form.
Frequently asked questions
- Do I need a notary for the sewage damage claim form?
- No. This document is signed without a notary; the claimant completes and dates the form, and no notarized attachment is identified.
- How do I submit the sewage damage claim?
- Return all claim documents to [email protected] or mail them to the City Clerk at 20025 Mack Plaza, Grosse Pointe Woods, MI 48236.
- What information does the claim form ask for?
- It asks for claimant contact information, the affected property address, when the damage or injury was discovered, and a brief description of the claim.
- What goes in the Damage Inventory Report?
- List each damaged item and its cost, age, and description. Attach supporting documents, such as purchase dates, store and brand names, receipts, and photos.
Need something notarized?
This Notice of Claim – Flood/Sewage Damage Inventory Report doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.