Hillsdale, MT · Bergen County
Notice of Tort Claim
Claimants use this form to provide information about an incident and submit a tort claim against the Township, with supporting documents.
What this form is
This form provides the information requested for a tort claim against the Township, including details about the claimant, incident, alleged harm, and amount claimed. Complete the sections that apply to the claim, attach requested documents, and return the form; the instructions say timely notices must be filed within 90 days after the incident. The form also includes medical-record and employment-record release authorizations.
Who needs it
A person filing a tort claim against the Township should complete this form and provide the requested supporting documents.
How to submit it
Return the fully completed claim form and requested documents to JIF Claims, LLC, PO Box 660, Westwood, NJ 07675.
About notarization
This document has no notary block; the claimant signs and dates the certification and release authorizations, though the instructions say answers are provided under oath.
How to submit this form
- 1
Download The Form
Download the Notice of Tort Claim PDF.
- 2
Complete Applicable Sections
Answer the questions with the information available to you and mark sections that do not apply as instructed.
- 3
Gather Requested Documents
Include the documents identified in your answers and any supporting materials requested for your claim.
- 4
Sign And Date
Sign and date the certification and any release authorizations that apply.
- 5
Return The Form
Send the completed form and requested documents to JIF Claims, LLC, PO Box 660, Westwood, NJ 07675.
Frequently asked questions
- 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 and release authorizations. Its instructions say answers are provided under oath.
- How do I submit the Notice of Tort Claim?
- Return the completed form and requested documents to JIF Claims, LLC, PO Box 660, Westwood, NJ 07675, as stated in the instructions.
- What information does the claim form request?
- It asks about the claimant, incident, witnesses, alleged responsibility, damages, and supporting records. Additional sections cover property damage and personal injuries.
- What attachments should I include?
- Provide the documents requested in your answers. Depending on the claim, the form requests items such as repair estimates, photographs, reports, and medical or employment records.
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.