Englewood, MT · Bergen County
Title 59 Notice Of Tort Claim Form
The Title 59 form lets people file a personal injury, property damage, or other claim against the City of Englewood.
What this form is
Use this form to submit a Notice of Tort Claim against the City of Englewood. The instructions say to file within 90 days after the incident and to first seek applicable medical or property benefits from your own insurer. The form asks for claimant and incident details, the basis and amount of the claim, and information about injuries or property damage.
Who needs it
People seeking compensation from the City of Englewood for personal injury, property damage, or another claim should complete this form.
How to submit it
Return the completed form and applicable supporting documents to the Assistant City Manager, City of Englewood, 2-10 North Van Brunt Street, Englewood, NJ 07631.
About notarization
This form has no notary block; it requests answers under oath, and the claimant completes the certification without a notary.
How to submit this form
- 1
Download The Form
Download the City of Englewood Title 59 Notice of Tort Claim form.
- 2
Complete The Form
Answer the applicable questions about the claimant, incident, claim basis, and any personal injury or property damage.
- 3
Gather Supporting Documents
Include applicable supporting items, such as an insurance declaration page, incident report, repair estimate, or other claim information.
- 4
Submit To The City
Return the completed form and applicable documents to the Assistant City Manager at the address listed in the instructions.
Frequently asked questions
- Do I need a notary for the Title 59 form?
- No. The form has no notary block, but its instructions say the answers are to be provided under oath. Complete the certification without a notary.
- How do I submit the Title 59 form?
- Return the completed form and applicable supporting documents to the Assistant City Manager at 2-10 North Van Brunt Street, Englewood, NJ 07631.
- What supporting documents should I include?
- The cover letter lists applicable documents such as an insurance declaration page, police or Department of Public Works incident report, repair estimate, and other information supporting the claim.
- When should I file the claim?
- The form instructions say a Notice of Claim must be filed within 90 days after the incident giving rise to the claim.
Need something notarized?
This Title 59 Notice Of Tort Claim Form doesn’t need a notary — but if you have another Englewood form that does, a commissioned online notary can help.