Totowa, MT · Passaic County
Notice of Claim
Claimants use this form to notify the Borough of Totowa of an accident or occurrence and describe the injuries, property damage, or other losses claimed.
What this form is
This form gives the Borough of Totowa notice of a claim for bodily injury, property damage, or other losses arising from an accident or occurrence. The form states that it must be filed within 90 days of the accident or occurrence or the claimant may forfeit their rights. It asks for claimant and incident details, damages, supporting documents, and signed authorizations.
Who needs it
Anyone making a claim against the Borough of Totowa for an accident or occurrence should complete this notice and provide the listed supporting documents.
How to submit it
Forward the completed notice to the Borough of Totowa, 537 Totowa Road, Totowa, NJ 07512. The form lists copies of bills, appraisals, estimates, reports, and wage-loss verification among the required items.
About notarization
This document is signed and dated without a notary; its health information authorization requires a witness signature, but the form does not request notarization.
How to submit this form
- 1
Download The Notice
Download the Notice of Claim PDF.
- 2
Complete The Form
Provide claimant and incident details, describe the damages, and state the amount claimed.
- 3
Gather Supporting Documents
Attach the bills, appraisals, estimates, reports, and wage-loss documentation listed on the form, as applicable.
- 4
Sign And Submit
Sign and date the form, then forward it to the Borough of Totowa at 537 Totowa Road, Totowa, NJ 07512.
Frequently asked questions
- What is the Totowa Notice of Claim form for?
- It notifies the Borough of Totowa of a claim for bodily injury, property damage, or other losses resulting from an accident or occurrence, and collects details about the incident and claimed damages.
- Do I need a notary for the Notice of Claim?
- No. The claimant signs and dates the form without a notary. The health information authorization requires a witness signature, but the document does not request notarization.
- How do I submit the Notice of Claim?
- Forward the completed form to the Borough of Totowa, 537 Totowa Road, Totowa, NJ 07512. Include the supporting items listed on the form, such as bills, property damage estimates, and wage-loss verification when applicable.
- What supporting documents does the form list?
- The form lists itemized bills for medical expenses and other losses, property damage appraisals and estimates, expert or treating physician reports, and an employer letter verifying lost wages. Self-employed claimants are asked for a lost-income calculation.
Need something notarized?
This Notice of Claim doesn’t need a notary — but if you have another Totowa form that does, a commissioned online notary can help.