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

No. The form has a claimant signature line and no notary block or notarized attachment; the claimant just signs it.

How do I submit the Notice of Claim Form?

File it with the Town Clerk’s Office at 3301 Broadway Street, Cheektowaga, NY 14227. The form says it must be filed within 90 days of the incident.

What information does the form ask for?

It asks for claimant and incident details, the nature and amount of the claim, and a signature. It also includes sections for vehicle damage and other property damage.

Which damage section should I complete?

Complete Section 1 for damage involving a motor vehicle. Complete Section 2 for damage to other property, such as a house or garage.

Cheektowaga, NY · Erie County

No notary required

Notice of Claim Form

Claimants use this form to notify the Town of Cheektowaga about an incident involving property damage or personal injury.

What this form is

This form lets a claimant notify the Town of Cheektowaga about a claim arising from an incident. It says the form must be filed within 90 days and asks for claimant and incident details, the nature and amount of the claim, and a signature. Claimants reporting vehicle or other property damage complete the applicable section.

Who needs it

A person making a claim against the town for an incident involving property damage or personal injury can use this form.

How to submit it

File the completed form with the Town Clerk’s Office at 3301 Broadway Street, Cheektowaga, NY 14227, within 90 days of the incident.

About notarization

This form is signed without a notary; it includes no notarized or sworn attachment, so the claimant just signs it.

How to submit this form

1
Download The Form
Download the Notice of Claim Form.
2
Complete The Form
Enter claimant and incident details, describe the claim, and complete the vehicle or property damage section that applies.
3
Sign The Form
Sign the form to certify that the information is true and correct to the best of your knowledge and belief.
4
Submit The Form
File it with the Town Clerk’s Office within 90 days of the incident.

Frequently asked questions

Do I need a notary for the Notice of Claim Form?: No. The form has a claimant signature line and no notary block or notarized attachment; the claimant just signs it.
How do I submit the Notice of Claim Form?: File it with the Town Clerk’s Office at 3301 Broadway Street, Cheektowaga, NY 14227. The form says it must be filed within 90 days of the incident.
What information does the form ask for?: It asks for claimant and incident details, the nature and amount of the claim, and a signature. It also includes sections for vehicle damage and other property damage.
Which damage section should I complete?: Complete Section 1 for damage involving a motor vehicle. Complete Section 2 for damage to other property, such as a house or garage.

Need something notarized?

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