South Brunswick, MT · Middlesex County
Tort Claim Form
Individuals seeking to assert a claim against South Brunswick Township or its officials, employees, or departments complete and submit this Notice of Tort Claim form.
What this form is
The form is the Township’s official Notice of Tort Claim for claims against South Brunswick Township or its officials, employees, or departments. It requests claimant and incident details, information about property damage or personal injuries, supporting documents, and a signed certification. The instructions state that a completed form and required information must be filed for the claim to be considered filed.
Who needs it
A person seeking to assert a claim against South Brunswick Township or a Township official, employee, or department should complete this form.
How to submit it
Return the completed form and requested documents to the Purchasing Agent/Risk Manager, Township of South Brunswick Municipal Complex, P.O. Box 190, Monmouth Junction, New Jersey 08852.
About notarization
This form is signed without a notary; the claimant signs and dates the certification and medical-record authorization, and the form does not identify a notarized attachment.
How to submit this form
- 1
Download The Form
Download the South Brunswick Tort Claim Form.
- 2
Complete The Questions
Answer the applicable questions with the information available and mark sections that do not apply as directed.
- 3
Gather Requested Documents
Include the documents requested in your answers, such as bills, estimates, reports, or wage verification when applicable.
- 4
Sign And Date
Sign and date the claimant certification and medical-record authorization.
- 5
Mail The Form
Send the completed form and requested documents to the Purchasing Agent/Risk Manager at the address listed in the instructions.
Frequently asked questions
- Do I need a notary for the South Brunswick Tort Claim Form?
- No. The form has signature and date lines but no notary block. It asks for responses under oath, so review the form’s instructions carefully.
- How do I submit the South Brunswick Tort Claim Form?
- Send the completed form and requested documents to the Purchasing Agent/Risk Manager at the Township of South Brunswick Municipal Complex, P.O. Box 190, Monmouth Junction, New Jersey 08852.
- What information does the Tort Claim Form request?
- It requests claimant, attorney, incident, and claim details, along with information about property damage or personal injuries and supporting documents.
- What should I attach to the claim form?
- The form requests documents identified in your answers, such as medical bills, property damage estimates, expert or treating physician reports, and wage verification when applicable.
Need something notarized?
This Tort Claim Form doesn’t need a notary — but if you have another South Brunswick form that does, a commissioned online notary can help.