South Brunswick, MT · Middlesex County

No notary required

Tort Claim Form

Individuals filing a claim against South Brunswick Township or its officials, employees, or departments use this form to provide claim details and supporting information.

What this form is

This form is the Township’s official notice for claims against South Brunswick Township or its officials, employees, or departments. It requests claimant and incident information, details about property damage or personal injuries, the amount claimed, and supporting documents. The form says a completed notice generally must be filed within 90 days of the incident and will not be considered filed until the Township receives the completed form and required information.

Who needs it

Anyone seeking to assert a claim against South Brunswick Township or a Township official, employee, or department needs to complete and return 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 document is signed without a notary; it says responses are to be provided under oath, and the claimant signs and dates the certification and medical authorization.

How to submit this form

  1. 1

    Download The Form

    Download the South Brunswick Tort Claim Form PDF.

  2. 2

    Complete The Questions

    Answer the applicable questions with the available information; mark sections that do not apply as directed.

  3. 3

    Gather Requested Documents

    Include the requested supporting documents and copies, such as estimates, bills, or reports, when applicable.

  4. 4

    Sign And Date

    Sign and date the claimant certification and the medical authorization.

  5. 5

    Return It To The Township

    Send the completed form and requested documents to the Purchasing Agent/Risk Manager at the address provided.

Frequently asked questions

Who uses the South Brunswick Tort Claim Form?
An individual seeking to assert a claim against South Brunswick Township or a Township official, employee, or department uses this form.
How do I submit the South Brunswick Tort Claim Form?
Return 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.
Do I need a notary for the South Brunswick Tort Claim Form?
No. The form has no notary block; it says responses are to be provided under oath and asks the claimant to sign and date the certification and medical authorization.
What information and documents does the form request?
It asks about the claimant, incident, alleged losses, and injuries or property damage. It also requests supporting documents, such as bills, estimates, reports, and wage information 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.