West Long Branch, MT · Monmouth County
Notice of Tort Claim
Claimants use this form to submit a tort claim to the Borough of West Long Branch and provide information about the incident and claimed losses.
What this form is
The Borough adopted this form for filing claims against it under the New Jersey Tort Claims Act. Claimants provide details about themselves, the incident, alleged injuries or property damage, and the basis and amount of the claim; the form also requests supporting documents and, for injury claims, authorizes release of medical records. The completed form and requested documents must be filed with the Borough Clerk within 90 days after the incident.
Who needs it
Anyone filing a claim against the Borough of West Long Branch for an incident involving alleged injury or property damage should complete this form.
How to submit it
Return the fully completed form and requested documents to the Borough Clerk, West Long Branch Borough Hall, 965 Broadway, West Long Branch, New Jersey 07764.
About notarization
This document has no notary block; the claimant signs and dates the certification, which states the responses are true and complete, and the instructions require answers under oath.
How to submit this form
- 1
Download the Form
Download the Notice of Tort Claim from this page.
- 2
Complete the Form
Answer the applicable questions about the claimant, incident, claim, and any property damage or personal injuries.
- 3
Gather Requested Documents
Include the documents requested by the form, such as applicable photographs, repair estimates, medical reports, or other identified records.
- 4
Submit to the Borough Clerk
Return the completed form and requested documents to the Borough Clerk at the Borough Hall address shown on the form.
Frequently asked questions
- Do I need a notary for the Notice of Tort Claim?
- No. The document has no notary block. The claimant signs and dates the certification, and the instructions say answers are to be provided under oath.
- How do I submit the Notice of Tort Claim?
- Return the completed form and requested documents to the Borough Clerk at West Long Branch Borough Hall, 965 Broadway, West Long Branch, New Jersey 07764.
- What information does the Notice of Tort Claim request?
- It requests claimant and incident details, the basis and amount of the claim, information about injuries or property damage, and supporting documents.
- When does the Borough require the form?
- The instructions state that a timely notice must be filed within 90 days after the incident giving rise to the claim.
Need something notarized?
This Notice of Tort Claim doesn’t need a notary — but if you have another West Long Branch form that does, a commissioned online notary can help.