Haworth, MT · Bergen County
Notice of Tort Claim
Claimants use this form to provide the Borough of Haworth with information about a claim involving injury or property damage.
What this form is
This form is the Borough of Haworth’s official form for filing a tort claim. It asks for claimant and attorney details, information about the incident and alleged damages, and supporting documents; separate sections cover property damage and personal injury. The instructions say to answer available questions under oath and warn that an incomplete form may not be treated as properly filed.
Who needs it
A person filing a claim against the Borough of Haworth should complete this form and provide the requested information and documents.
How to submit it
Return the completed claim form and requested documents to the Borough Clerk’s Office, Borough of Haworth, 300 Haworth Avenue, Haworth, NJ 07641, and JIF Claims, LLC, 373 Kinderkamack Road, Westwood, NJ 07675.
About notarization
This form has no notary block; the claimant signs and dates the certification, while the instructions say answers are to be provided under oath.
How to submit this form
- 1
Download The Form
Download the Notice of Tort Claim PDF.
- 2
Complete The Form
Answer the applicable questions with the information available and sign and date the certification.
- 3
Gather Requested Documents
Include the documents requested in the form and any supplementary pages needed to complete your answers.
- 4
Return The Form
Send the completed form and requested documents to the Borough Clerk’s Office and JIF Claims, LLC, at the addresses listed in the instructions.
Frequently asked questions
- What is the Haworth Notice of Tort Claim?
- It is the Borough of Haworth’s official form for filing a claim. It requests claimant details, incident information, claimed damages, and supporting documents.
- How do I submit the Notice of Tort Claim?
- Return the completed form and requested documents to the Borough Clerk’s Office in Haworth and to JIF Claims, LLC, at the addresses printed in the instructions.
- Do I need a notary for the Notice of Tort Claim?
- No. The form has no notary block; the claimant signs and dates the certification. Its instructions say answers are to be provided under oath.
- What information does the claim form ask for?
- It asks for claimant and attorney information, details about the incident and alleged damages, and documents supporting the claim. Sections cover property damage and personal injury.