Fredonia, NY · Chautauqua County
Notice of Claim Against the Village
This notice lets a claimant describe a claim for money against the Village of Fredonia and is submitted to a Village officer, preferably the Village Clerk.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this suggested form to state the claimant’s name and address, the nature and circumstances of the claim, and the injuries or damages claimed. The instructions call for two copies to be served on a Village officer within 90 days after the claim arises, personally or by registered mail. For property damage, the instructions also request two repair estimates or receipted bills.
Who needs it
A person seeking payment from the Village of Fredonia for a claim should complete and submit this notice with the requested claim details.
Why it needs a notary
The claimant or claimants sign the notice and swear to its contents before the notary public named in the jurat at the end of the form.
How to get this notarized
- 1
Download The Form
Get the Notice of Claim Against the Village form and review its instructions.
- 2
Complete The Claim Details
Enter claimant and attorney information, the claim circumstances, and the injuries or damages; attach the requested estimates or bills for property damage.
- 3
Book An Online Notary
Schedule an appointment with a commissioned online notary to notarize the claimant’s sworn statement.
- 4
Sign On Video
Sign and swear to the notice during your online notarization appointment.
- 5
Submit Two Copies
Serve two copies on a Village officer, preferably the Village Clerk, using a delivery method listed in the instructions.
Preview the form
The blank PDF straight from Fredonia. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit this Notice of Claim?
- Complete the claim details, make two copies, and serve them on a Village officer—preferably the Village Clerk—personally or by registered mail. The form says to do so within 90 days after the claim arises.
- Do I need to sign the claim before a notary?
- Yes. The form says the notice must be signed and sworn to before a notary public. New York authorizes remote online notarization by a commissioned online notary under Executive Law §135-c, in effect since 2023.
- What supporting documents are requested for property damage?
- The instructions ask for two repair estimates or receipted bills when the claim is for property damage.
- Where should I deliver the copies?
- The instructions list the Village Clerk at 9-11 Church Street, Fredonia, NY 14063, and say the copies may be served personally or by registered mail. Confirm with the city, town or village if unsure.