Bogota, MT · Bergen County
Notice of Claim
This notice form lets a claimant report an accident or occurrence and request damages from a municipality or agency.
What this form is
Use this Notice of Claim to describe an accident or occurrence, identify the municipality or agency involved, and explain the damages being claimed. It asks for claimant and incident details, witnesses, injury or property-loss information, and the amount claimed. The form lists supporting bills, estimates, reports, and wage documentation to submit with the notice, and includes medical and employment information release authorizations.
Who needs it
A person claiming bodily injury, property damage, or other losses from a municipality or agency can use this form to provide claim details.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; it includes a truth certification and medical and employment release authorizations, but does not ask for notarization.
How to submit this form
- 1
Download The Form
Download the Notice of Claim PDF.
- 2
Complete The Claim Details
Fill in claimant information, describe the occurrence, and provide details about the damages and amount claimed.
- 3
Gather Supporting Documents
Collect the bills, estimates, reports, and wage documentation listed on the form.
- 4
Submit The Form
Submit the form and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Notice of Claim form for?
- It records an accident or occurrence and a claim for bodily injury, property damage, or other losses. It asks for incident details, claimed damages, and supporting information.
- What documents should I attach to the Notice of Claim?
- The form lists itemized medical and other expense bills, property appraisals and repair estimates, expert and treating-physician reports, and employer wage verification. Self-employed claimants should include an income calculation.
- Do I need a notary for the Notice of Claim?
- No. The document is signed and dated without a notary and includes a truth certification and medical and employment release authorizations that do not ask for notarization.
- How do I submit the Notice of Claim?
- The form does not provide a submission department or address. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Notice of Claim doesn’t need a notary — but if you have another Bogota form that does, a commissioned online notary can help.