Mantoloking, MT · Ocean County
Claim For Damages
This claim form lets a person seek damages from the Borough of Mantoloking for an incident or occurrence and submit supporting information and records.
What this form is
Use this form to present a claim for property damage, personal or bodily injury, or other losses against the Borough of Mantoloking. The form says it must be returned within 90 days of the incident or occurrence. It asks for claimant and incident details, the damages claimed, and information about witnesses, insurance, medical treatment, employment, and supporting documents.
Who needs it
A person claiming damages from the Borough of Mantoloking for an incident or occurrence should complete and return this form.
How to submit it
Return the completed form to the Borough of Mantoloking, 202 Downer Avenue, PO Box 247, Mantoloking, NJ 08738, within 90 days of the incident or occurrence.
About notarization
This document does not require a notary; the claimant signs and dates the claim, and the attached health-information authorization requires a witness signature.
How to submit this form
- 1
Download The Form
Download the Claim For Damages PDF.
- 2
Complete The Claim
Enter claimant and incident details, describe the damages, and state the total amount claimed.
- 3
Gather Supporting Documents
Attach applicable bills, estimates, reports, photographs, insurance communications, and required authorizations listed in the form.
- 4
Sign And Date
Sign and date the claim; the attached health-information authorization requires a witness signature.
- 5
Return It To The Borough
Return the completed form to the address printed on it within 90 days of the incident or occurrence.
Frequently asked questions
- Do I need a notary for the Claim For Damages?
- No. The claim requires the claimant’s signature and date, not notarization. The attached health-information authorization requires a witness signature.
- How do I submit the Claim For Damages?
- Return the completed form to the Borough of Mantoloking at 202 Downer Avenue, PO Box 247, Mantoloking, NJ 08738, within 90 days of the incident or occurrence.
- What supporting documents does the claim form request?
- The form lists supporting materials such as itemized bills, repair estimates and invoices, reports, photographs, insurance communications, and, when applicable, employment and health-information authorizations.
- What kinds of damages can I claim?
- The form provides options for property damages, personal or bodily injury, and other damages, and asks the claimant to describe the losses and state the total amount claimed.
Need something notarized?
This Claim For Damages doesn’t need a notary — but if you have another Mantoloking form that does, a commissioned online notary can help.