Barnegat Township, MT · Ocean County

No notary required

Notice of Tort Claim

Claimants use this form to notify Barnegat Township of a claim and provide details about the incident, claimed losses, and supporting information.

What this form is

This form is Barnegat Township’s official notice for filing a claim against the Township. It asks for the claimant’s information, incident details, alleged injury or property damage, claim amount, and supporting documents; it also includes a patient authorization for health information. The instructions say to file the completed form and required documents within 90 days after the incident.

Who needs it

A person filing a claim against Barnegat Township should complete this form and provide the information and documents required for the claim.

How to submit it

Return the completed form and required documents to the Clerk of the Township of Barnegat, 900 West Bay Avenue, Barnegat, New Jersey 08005.

About notarization

This document has no notary block; the claim questions are answered under oath, and the attached patient authorization requires the claimant’s signature and a witness signature.

How to submit this form

  1. 1

    Download The Form

    Download the Notice of Tort Claim and review its instructions.

  2. 2

    Complete The Claim

    Answer the questions using the information available to you or your attorneys.

  3. 3

    Gather Required Documents

    Include the required documents and sign the attached patient authorization; that authorization also requires a witness signature.

  4. 4

    Submit To The Township

    Return the completed form and required documents to the Township Clerk at the address listed in the instructions.

Frequently asked questions

Do I need a notary for the Notice of Tort Claim?
No. The form has no notary block, though it says the claim questions are answered under oath. The attached patient authorization requires the claimant’s signature and a witness signature.
How do I submit the Notice of Tort Claim?
Return the completed form and required documents to the Clerk of the Township of Barnegat at 900 West Bay Avenue, Barnegat, New Jersey 08005.
What information does the form request?
It asks about the claimant, incident, alleged injury or property damage, claim amount, and supporting records. The instructions say to answer questions using all information available.
When does the form say to file a claim?
The instructions state that timely notices of claim 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 Barnegat Township form that does, a commissioned online notary can help.