Perth Amboy, MT · Middlesex County
Tort Claim Form
Individuals use this form to notify the City of Perth Amboy of a claim involving the City, its officials, employees, or departments.
What this form is
This form is the City’s official notice for individuals asserting claims against Perth Amboy or its officials, employees, or departments. Claimants provide information about themselves, the incident, witnesses, injuries or property damage, and the amount claimed, along with requested documents. The instructions say to return the completed form and requested documents to the City Clerk’s Office; they also state that the form is answered under oath.
Who needs it
Individuals seeking to assert a claim against Perth Amboy, a City official, employee, or department should complete and file this form.
How to submit it
Return the completed form and requested documents to the City Clerk’s Office, City of Perth Amboy, 260 High Street, Perth Amboy, 08861.
About notarization
This document does not require a notary; its instructions say the answers are provided under oath, and the signer should sign and date the form.
How to submit this form
- 1
Download The Form
Download the Perth Amboy Tort Claim Form.
- 2
Complete The Form
Answer the applicable questions with the available information; the instructions say answers are provided under oath.
- 3
Gather Requested Documents
Include the documents requested by the form and any supplementary pages needed to complete your answers.
- 4
Submit To The City
Return the completed form and requested documents to the City Clerk’s Office at 260 High Street.
Frequently asked questions
- What is the Perth Amboy Tort Claim Form for?
- It is the City’s official form for individuals asserting claims against Perth Amboy or its officials, employees, or departments.
- What information does the form ask for?
- It asks about the claimant, incident, witnesses, alleged causes, injuries or property damage, losses, and supporting documents.
- Do I need a notary for the Tort Claim Form?
- No. The document does not require a notary. Its instructions say answers are provided under oath; the signer should sign and date the form.
- How do I submit the Tort Claim Form?
- Return the completed form and requested documents to the City Clerk’s Office, City of Perth Amboy, 260 High Street, Perth Amboy, 08861.