West Orange, MT · Essex County
Municipal Insurance Fund Commission Tort Claim Notice
This notice form is for people seeking to file a claim against West Orange or its officials, employees, or departments.
What this form is
West Orange adopted this form as its official notice for claims against the Township, its officials, employees, or departments. Claimants provide information about themselves, the incident, alleged losses, and any property damage or personal injuries, and include requested supporting documents. The form says the completed notice must be filed within 90 days after the incident and that incomplete responses may mean the claim is not properly filed.
Who needs it
Anyone seeking to assert a claim against West Orange, or a Township official, employee, or department, should complete and file this notice.
How to submit it
Return the completed form and requested documents to the Business Administrator, Township of West Orange, 66 Main Street, West Orange, NJ 07052.
About notarization
This document is signed without a notary; the form says responses are to be answered under oath, but it includes no notary block or notarized attachment.
How to submit this form
- 1
Download The Notice
Download the West Orange Municipal Insurance Fund Commission Tort Claim Notice.
- 2
Complete The Form
Answer the applicable questions about the claimant, incident, and claimed losses; indicate when a question does not apply.
- 3
Gather Requested Documents
Include the documents requested by the form, such as relevant reports, bills, estimates, or other identified records.
- 4
Submit To The Township
Return the completed form and requested documents to the Business Administrator, Township of West Orange, 66 Main Street, West Orange, NJ 07052.
Frequently asked questions
- Who uses the West Orange Tort Claim Notice?
- People seeking to assert a claim against West Orange, a Township official, employee, or department use this form.
- How do I submit the tort claim notice?
- Return the completed form and requested documents to the Business Administrator at 66 Main Street, West Orange, NJ 07052.
- Do I need a notary for the West Orange Tort Claim Notice?
- No. The form has no notary block. It says responses are to be answered under oath, but does not identify a notarized attachment.
- What information does the form request?
- It asks about the claimant, the incident, witnesses, alleged losses, and any property damage or personal injuries. It also requests supporting documents.
Need something notarized?
This Municipal Insurance Fund Commission Tort Claim Notice doesn’t need a notary — but if you have another West Orange form that does, a commissioned online notary can help.