What information does the Emergency Moral Claim Form request?

It asks for claimant contact details, the incident date and time, and a description of what happened and why the claimant believes the Village was at fault.

What should I attach to the claim?

The form asks for documents supporting the claim, along with estimates to repair or replace damaged items. It also asks you to note each item's age.

Do I need a notary for the Emergency Moral Claim Form?

No. The form asks you to sign and date it without a notary. It requests supporting damage documents and repair or replacement estimates as attachments.

How do I submit the Emergency Moral Claim Form?

Return it to the Village Chief Fiscal Officer at the address on the form, or email it to cfo@cuyahogaheights.com.

Cuyahoga Heights, OH · Cuyahoga County

No notary required

Emergency Moral Claim Form

Cuyahoga Heights residents use this form to submit a claim describing an incident and damages they believe the Village caused.

What this form is

Use this form to submit an emergency moral claim to the Village of Cuyahoga Heights. It asks for the claimant’s contact details, the incident date and time, and an explanation of what happened and why the Village was at fault. The form requests supporting documents and repair or replacement estimates, notes a $300 maximum moral claim, and says the claim will go to Council for a vote.

Who needs it

A person seeking a moral claim from the Village should complete this form and provide the requested information and supporting damage documents.

How to submit it

Return the form and supporting information to the Village Chief Fiscal Officer at 4863 East 715? Street, Cuyahoga Heights, Ohio 44125, or email it to [email protected].

About notarization

This form is signed and dated without a notary; it asks you to attach supporting damage documents and repair or replacement estimates.

How to submit this form

1
Download The Form
Download the Emergency Moral Claim Form.
2
Complete The Form
Provide your contact details, incident date and time, and description of what happened and why you claim the Village was at fault.
3
Gather Supporting Documents
Attach documents supporting your claim and repair or replacement estimates; note the age of each item.
4
Submit To The Village
Return the form and supporting information to the Village Chief Fiscal Officer by mail or email.

Frequently asked questions

What information does the Emergency Moral Claim Form request?: It asks for claimant contact details, the incident date and time, and a description of what happened and why the claimant believes the Village was at fault.
What should I attach to the claim?: The form asks for documents supporting the claim, along with estimates to repair or replace damaged items. It also asks you to note each item's age.
Do I need a notary for the Emergency Moral Claim Form?: No. The form asks you to sign and date it without a notary. It requests supporting damage documents and repair or replacement estimates as attachments.
How do I submit the Emergency Moral Claim Form?: Return it to the Village Chief Fiscal Officer at the address on the form, or email it to [email protected].

Need something notarized?

This Emergency Moral Claim Form doesn’t need a notary — but if you have another Cuyahoga Heights form that does, a commissioned online notary can help.