Hamburg, NY · Erie County
Claimant’s Notice of Claim
This one-page notice lets a claimant provide the Town of Hamburg with contact information, details about a claim, and the amount claimed for injury or damage.
- 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
The form is addressed to the Town Clerk and collects the claimant’s name, address, phone number, the nature and circumstances of the claim, and the damage or injury and amount claimed. For personal injury claims, it also asks whether the claimant is on Medicare and requests a Social Security number. The form does not state a filing deadline; contact the Town Clerk if you have questions about when or how to submit it.
Who needs it
A person submitting a claim to the Town of Hamburg can use this form to provide claimant details and describe the alleged injury or damage.
Why it needs a notary
The claimant signs under a jurat stating the form was subscribed and sworn before a Commissioner of Deeds or Notary Public.
How to get this notarized
- 1
Download the Form
Get the Town of Hamburg Claimant’s Notice of Claim from the Town’s website.
- 2
Fill In the Claim Details
Enter your contact information and describe the claim, including any injury or damage and the amount claimed.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary for the form’s subscribed-and-sworn jurat.
- 4
Sign on Video
Sign the form during the online notary session and complete the jurat.
- 5
Submit to the Town
Contact the Town Clerk for submission instructions, then deliver the notarized form as directed.
Preview the form
The blank PDF straight from Hamburg. 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 a Notice of Claim to the Town of Hamburg?
- Complete the form, sign it before a notary, and contact the Town Clerk about how and when to submit it. The form is addressed to the Town Clerk at Hamburg Town Hall.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat for the claimant, to be completed by a Commissioner of Deeds or Notary Public.
- Can I use an online notary for this form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c. You may sign with a commissioned online notary, subject to the Town’s submission requirements.
- What information does the form ask for?
- It asks for claimant contact details, the nature and circumstances of the claim, and the damage or injury and amount claimed. Personal injury claimants are also asked about Medicare and for a Social Security number.
- How can I check the Town’s filing instructions?
- Contact the Town Clerk about submission method and timing; confirm with the city, town or village if unsure.
Claimant’s Notice of Claim in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.