South Orange, MT · Essex County
Notice of Tort Claim Form
This form lets a claimant provide South Orange Village with information about an incident and a claim for injury or property damage.
What this form is
The form is used to file a claim against South Orange Village and asks for information about the claimant, incident, witnesses, alleged cause, and claimed damages. It includes additional questions for property damage and personal injury, requests supporting documents, and includes a medical-records release. The instructions state that the completed form and requested documents must be filed within 90 days after the incident.
Who needs it
A person filing a claim against South Orange Village for an incident involving alleged injury or property damage needs this form.
How to submit it
Return the fully completed form and requested documents to the Village Clerk, South Orange Village, 76 South Orange Avenue, Suite 302, South Orange, NJ 07079.
About notarization
This document is signed without a notary; the instructions request answers under oath, but the form shows no notary block.
How to submit this form
- 1
Download The Form
Download the Notice of Tort Claim Form PDF.
- 2
Complete The Questions
Answer the applicable questions about the claimant, incident, claim, and any property damage or personal injury.
- 3
Gather Supporting Documents
Include documents identified in your answers and, for a property damage claim, a property description and repair estimate.
- 4
Submit To The Village Clerk
Return the completed form and requested documents to the Village Clerk at the address listed in the instructions.
Frequently asked questions
- Do I need a notary for the Notice of Tort Claim Form?
- No. The form shows no notary block, although its instructions request answers under oath.
- How do I submit the Notice of Tort Claim Form?
- Return the completed form and requested documents to the Village Clerk at 76 South Orange Avenue, Suite 302, South Orange, NJ 07079.
- What information does the form ask for?
- It asks about the claimant, the incident, witnesses, the basis and amount of the claim, and any property damage or personal injury.
- What documents should accompany the claim?
- The form requests documents identified in your answers. For property damage, it asks for a property description and repair estimate.
Need something notarized?
This Notice of Tort Claim Form doesn’t need a notary — but if you have another South Orange form that does, a commissioned online notary can help.