Do I need a notary for the Notice of Insurance Claim?

No. The form has no notary block; the claimant or filer certifies the statements and signs and dates it.

When does the form say I must file my claim?

The form says it must be filed within 90 days of the accident or occurrence.

What supporting documents does the form list?

It lists itemized bills, property appraisals and repair estimates, written reports from expert witnesses and treating physicians, and employer verification of lost wages or a self-employment income calculation.

Berkeley Heights, MT · Union County

No notary required

Notice of Insurance Claim

Claimants use this form to notify Berkeley Heights of an accident or occurrence and provide details about the damages they are claiming.

What this form is

The form gives Berkeley Heights details about an accident or occurrence and the resulting injury, property damage, or other losses. The document says the claim form must be filed within 90 days of the accident or occurrence. It asks for claimant and incident information, a description of the claim and damages, and supporting records such as bills, estimates, reports, and wage verification.

Who needs it

A person making a claim against Berkeley Heights for injury, property damage, or other losses from an accident or occurrence should complete this form.

How to submit it

Forward the completed form to the Township of Berkeley Heights, 29 Park Avenue, Berkeley Heights, NJ 07922. The form lists supporting documents to submit with the notice.

About notarization

This document is signed without a notary; the claimant or filer certifies the statements are true and signs and dates the form.

How to submit this form

1
Download The Form
Download the Notice of Insurance Claim PDF.
2
Complete The Claim Details
Provide claimant and incident information, describe the claimed losses, and state the amount of the claim.
3
Gather Supporting Documents
Attach the bills, estimates, reports, and wage or income records listed on the form.
4
Forward The Form
Send the completed form and supporting documents to the Township at 29 Park Avenue, Berkeley Heights, NJ 07922.

Frequently asked questions

Do I need a notary for the Notice of Insurance Claim?: No. The form has no notary block; the claimant or filer certifies the statements and signs and dates it.
How do I submit the Notice of Insurance Claim?: Forward the completed form to the Township of Berkeley Heights, 29 Park Avenue, Berkeley Heights, NJ 07922, with the supporting documents listed on the form.
When does the form say I must file my claim?: The form says it must be filed within 90 days of the accident or occurrence.
What supporting documents does the form list?: It lists itemized bills, property appraisals and repair estimates, written reports from expert witnesses and treating physicians, and employer verification of lost wages or a self-employment income calculation.

Need something notarized?

This Notice of Insurance Claim doesn’t need a notary — but if you have another Berkeley Heights form that does, a commissioned online notary can help.