Oxford County Claim/Incident Reporting Form

Note: There is a 10 day notice period for providing the County with Notice of certain types of claims and a two year limitation period for bringing an action in respect to most claims against the County. 

We suggest that in all cases of loss or damage you contact your insurance company or broker. Depending on the type of property damaged, and the insurance policy you purchased, you may be eligible for compensation from your insurance company.

Reporter Details

 is the person filling out this form.

Incident/Claim Information


Emergency Personnel Attended

Involved Persons

Involved Person" is an individual who is/may be involved with the claim/incident (directly or indirectly) being reported. (Examples include the claimant, witness to the incident, lawyer, employees, visitors, volunteers, etc.)

Involved Person Details

To add another involved person, please select "Add another involved person" on the bottom-right portion of this section. This will open another section where information can inserted. If not required, please ignore. 
Follow-Up and Corrective Actions

Involved Vehicle

To add another vehicle, please select "Add another vehicle" on the bottom-right portion of this section.
Involved Property

To add another property, please select "Add another property" on the bottom-right portion of this section.

Note: There is a 25 MB per file size limit, a 35 MB total file size limit, and a 10 file limit per submission.

Please upload any supporting documents, images, invoices, or estimate of damages.

To add more than one attachment, select "Add another attachment". To remove the additional file upload option, select "Remove".
The information provided herein is true. I understand that submitting false statements and/or documentation is a form of fraud and is illegal. I acknowledge that fraudulent claims cost taxpayers, and that claims that are determined to be made fraudulently will be prosecuted to the full extent of the law.

I hereby give consent to County of Oxford to collect, use or disclose my information that is necessary and reasonable for the purposes of processing my claim.

I accept that County of Oxford will disclose my personal information to the County’s insurance adjuster and/or to those involved in the resulting claim resolution, including but not limited to lawyers, or third parties that are found responsible for losses claimed.

Personal information on this form is collected under the authority of the Municipal Act 2001 C.25 and will be used to process your claim with County of Oxford. Questions about this collection may be directed to:

Coordinator of Legislative Services
at 519-539-9800 ext 3017

NOTE: If you do not agree, the County of Oxford is unable to accept your online form as notice about your claim.