Orange, MT · Essex County
Title 59 Notice Of Tort Claim
Claimants use this form to notify the City of Orange Township of a claim for property damage or personal injury involving the City, its officials, or employees.
What this form is
The form is used to file a notice of a tort claim against the City of Orange Township, its officials, or employees for property damage or personal injury. The instructions say to submit the completed form and supporting records within 90 days after the incident. It asks for claimant and incident details, information about alleged damages or injuries, and supporting documentation; personal injury claims also require an authorization for health information.
Who needs it
Anyone submitting a property damage or personal injury claim against the City of Orange Township, its officials, or employees needs this form.
How to submit it
File the completed claim form and supporting documents in person or by mail or courier with the City’s Department of Law, 29 North Day Street, Second Floor, Orange, New Jersey 07050.
About notarization
This document is signed without a notary; the claimant certifies the claim under penalty of perjury, and personal injury claims also require a signed health information authorization.
How to submit this form
- 1
Download The Form
Download the Title 59 Notice of Tort Claim and its instructions.
- 2
Complete The Relevant Sections
Answer applicable questions about the claimant, incident, and alleged property damage or personal injury.
- 3
Gather Supporting Records
Include available records supporting damages and any other required documents; personal injury claims also require a health information authorization.
- 4
Submit To The Department Of Law
File the completed form and supporting documents in person or by mail or courier at the Department of Law address on the form.
Frequently asked questions
- Do I need a notary for the Title 59 Notice of Tort Claim?
- No. The claimant signs a certification under penalty of perjury; the form does not require a notary. Personal injury claims also require a signed health information authorization.
- How do I submit the Title 59 Notice of Tort Claim?
- File the completed form and supporting documents in person or by mail or courier with the City’s Department of Law at 29 North Day Street, Second Floor, Orange, New Jersey 07050.
- What supporting documents should I include?
- The instructions require available records supporting the damages, relevant expert or healthcare provider reports, and, for lost wages, an employer letter or a self-employment income calculation.
- When should I file a tort claim notice?
- The instructions say the completed notice form and supporting documents must be filed within 90 days after the incident giving rise to the claim.
Need something notarized?
This Title 59 Notice Of Tort Claim doesn’t need a notary — but if you have another Orange form that does, a commissioned online notary can help.