Hillsdale, MT · Bergen County

No notary required

Notice of Tort Claim

This form lets a claimant submit a tort claim to Hillsdale and requests details about the incident, claimed losses, and supporting documents.

What this form is

Use this form to file a claim against Hillsdale; the instructions say a claim is not considered filed until the completed form is filed with the municipality. It asks for claimant and incident information, details about property damage or personal injuries, and supporting documents. The instructions state that timely notices must be filed within 90 days after the incident.

Who needs it

A person filing a claim against Hillsdale should complete the form and provide the requested information and documents.

How to submit it

Return the completed claim form and requested documents to Bergen JIF Claims, LLC, 373 Kinderkamack Road, Westwood, NJ 07675, and Borough of Hillsdale, 380 Hillsdale Avenue, Hillsdale, NJ 07642.

About notarization

This document is signed without a notary; the claimant certifies and signs the form, and also signs and dates the included employment and health information authorizations.

How to submit this form

  1. 1

    Download The Form

    Download the Notice of Tort Claim PDF.

  2. 2

    Complete The Form

    Answer the applicable questions and provide the requested claimant, incident, injury, property damage, and claim information.

  3. 3

    Gather Supporting Documents

    Include the requested documents and any applicable attachments, such as property damage estimates or copies of identified records.

  4. 4

    Submit The Form

    Return the completed form and requested documents to the two addresses listed in the instructions.

Frequently asked questions

Do I need a notary for the Notice of Tort Claim?
No. The form has a claimant certification and signature line but no notary block; the included employment and health information authorizations also have signature lines.
How do I submit the Notice of Tort Claim?
Return the completed form and requested documents to Bergen JIF Claims, LLC in Westwood and the Borough of Hillsdale at the addresses listed in the instructions.
What information does the form ask for?
It requests claimant and incident details, information about alleged injuries or property damage, the basis and amount of the claim, and supporting documents.
When does the form say a notice must be filed?
The instructions state that timely notices of claim must be filed within 90 days after the incident giving rise to the claim.

Need something notarized?

This Notice of Tort Claim doesn’t need a notary — but if you have another Hillsdale form that does, a commissioned online notary can help.