Long Branch, MT · Monmouth County
Notice of Claim
This form lets a person submit an insurance claim against Long Branch or another public entity for property damage, bodily injury, or other losses.
What this form is
Use this Notice of Claim to report an occurrence and describe the damage or injury you claim was caused by a municipality or public entity. The instructions say to complete it within 90 days of the loss and notify your insurance carrier first. It asks for claimant and incident details, descriptions of the alleged fault and losses, and supporting information or attachments, including proof of insurance coverage status.
Who needs it
A person seeking compensation from Long Branch or another public entity for a loss should complete this form and provide the requested claim details.
How to submit it
Submit the completed form to the Risk Manager at 344 Broadway, Long Branch, New Jersey, 07740. The instructions request a copy of policy coverages or a declination letter from your insurance carrier.
About notarization
This document is signed and dated without a notary; it does not identify any notarized or sworn attachment, and the claimant simply signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Notice of Claim form and read the filing instructions.
- 2
Complete The Form
Provide claimant and occurrence details, describe the alleged fault, and complete the sections that apply to your loss.
- 3
Gather Supporting Documents
Include a copy of your policy coverages or a declination letter, plus applicable records, bills, receipts, or estimates requested by the form.
- 4
Submit To The Risk Manager
Send the completed form to the Risk Manager at 344 Broadway, Long Branch, New Jersey, 07740.
Frequently asked questions
- Do I need a notary for the Notice of Claim?
- No. The form has a claimant signature and date field but no notary block. The instructions do not identify any notarized or sworn attachment.
- How do I submit the Notice of Claim?
- Send the completed form to the Risk Manager at 344 Broadway, Long Branch, New Jersey, 07740. Include a copy of your policy coverages or an insurance carrier declination letter.
- What information does the Notice of Claim ask for?
- It asks for claimant and incident details, the alleged cause of the loss, witness and employee information, and details about injuries, property damage, and other claimed losses.
- What supporting documents does the form request?
- The instructions request proof of personal coverage status. Depending on the claim, the form also asks for supporting items such as medical reports and bills, income verification, receipts, appraisals, and estimates.
Need something notarized?
This Notice of Claim doesn’t need a notary — but if you have another Long Branch form that does, a commissioned online notary can help.