Keansburg, MT · Monmouth County
Tort Claim Form
Claimants use this form to file a notice of a claim against the Borough of Keansburg and provide details and supporting documents.
What this form is
This form is the Borough of Keansburg’s official notice for claims against the Borough. Claimants provide information about the incident, alleged injury or property damage, witnesses, losses, and related documents; the instructions say the answers are to be given under oath. The completed form and requested documents must be filed with the Borough, and the instructions state that notice must be filed within 90 days after the incident.
Who needs it
Anyone filing a claim against the Borough of Keansburg should complete this form and provide the requested documents.
How to submit it
Return the completed claim form and requested documents to the Clerk of the Borough of Keansburg, 29 Church Street, Keansburg, NJ 07734.
About notarization
This form has no notary block and is signed and dated by the claimant; attached Patient Authorization forms must also be signed, but no notarization is specified.
How to submit this form
- 1
Download The Form
Download the Keansburg Tort Claim Form and review its instructions.
- 2
Complete The Form
Answer the applicable questions with the information available to you; the instructions say answers are to be given under oath.
- 3
Gather Supporting Documents
Include documents identified in your answers and sign the attached Patient Authorization forms.
- 4
Submit To The Borough
Return the completed form and requested documents to the Borough Clerk at 29 Church Street, Keansburg, NJ 07734.
Frequently asked questions
- Do I need a notary for the Keansburg Tort Claim Form?
- No. The form has no notary block; the claimant signs and dates it. The attached Patient Authorization forms must also be signed, but the instructions do not specify notarization.
- How do I submit the Keansburg Tort Claim Form?
- Return the completed form and requested documents to the Clerk of the Borough of Keansburg, 29 Church Street, Keansburg, NJ 07734.
- What information does the tort claim form ask for?
- It asks about the incident, the claimant’s account, witnesses, the alleged injury or property damage, losses, and related claims. The form includes additional questions for motor vehicle, property damage, and personal injury claims.
- What documents should I include with my claim?
- Provide documents identified in your answers. Depending on the claim, the instructions also request items such as accident reports, repair estimates, medical bills, expert or treating physician reports, and lost-wage verification.
Need something notarized?
This Tort Claim Form doesn’t need a notary — but if you have another Keansburg form that does, a commissioned online notary can help.