Fairfield, MT · Essex County

No notary required

Notice of Tort Claims Form

Claimants use this form to give the Township of Fairfield notice of a claim and provide information about the incident, injuries, damages, and supporting documents.

What this form is

The Township adopts this form for filing claims against it under the New Jersey Tort Claims Act. Claimants provide details about themselves, the incident, witnesses, alleged causes, losses, and supporting documents; sections cover property damage and personal injury. The form says timely notices must be filed within 90 days after the incident, and that incomplete responses may mean a claim is not properly filed.

Who needs it

A person filing a claim against the Township of Fairfield should complete this form and provide the requested information and supporting documents.

How to submit it

Return the fully completed claim and requested documents to the Municipal Clerk, Township of Fairfield, 230 Fairfield Road, Fairfield, NJ 07004. The form states that timely notices must be filed within 90 days after the incident.

About notarization

This form has no notary block; the claimant answers the questions under oath and signs and dates the certification.

How to submit this form

  1. 1

    Download The Form

    Download the Notice of Tort Claims Form.

  2. 2

    Complete The Questions

    Answer the applicable questions with the information available to you; indicate when a question does not apply.

  3. 3

    Gather Requested Documents

    Attach the documents requested by the form, including relevant records and estimates where applicable.

  4. 4

    Sign And Date The Certification

    Sign and date the claimant certification.

  5. 5

    Return The Form

    Send the completed claim and requested documents to the Municipal Clerk at the address listed on the form.

Frequently asked questions

Do I need a notary for the Notice of Tort Claims Form?
No. The form has no notary block; it asks the claimant to answer questions under oath and sign and date the certification.
How do I submit the Notice of Tort Claims Form?
Return the completed form and requested documents to the Municipal Clerk, Township of Fairfield, 230 Fairfield Road, Fairfield, NJ 07004.
What information does the form request?
It asks about the claimant, incident, witnesses, alleged causes, losses, and supporting documents, with sections for property damage and personal injury claims.
When does the form say a notice must be filed?
The form states 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 Claims Form doesn’t need a notary — but if you have another Fairfield form that does, a commissioned online notary can help.