Oakville Claim Intake Form

Introduction

Upon receipt of your claim, an investigation will be initiated by the Risk Management department on a without prejudice basis. A decision will be made when all information has been reviewed.


Claim decisions are typically reached within 8-12 weeks; however, the Town cannot guarantee a timeframe in which your claim will be processed. Many factors affect claims response times, including but not limited to: type of claim, business demand and volume of claims received. All claims are processed in the order that they are submitted.


If the investigation finds legal liability on the part of the Town, you may be entitled to reasonable compensation. If the investigation finds that the Town is not legally liable, your claim will be declined with an explanation provided.


All fraudulent claims will be prosecuted to the full extent of the law.


THE TOWN OF OAKVILLE WILL NOT ACCEPT RESPONSIBILITY FOR DAMAGE/INJURY OR ADDITIONAL DAMAGE/INJURY CAUSED BY THE LACK OF MITIGATION OR FAILURE TO ACT WITHIN REASON. THE ONUS TO MITIGATE ALL DAMAGES AND/OR ADDRESS PERSONAL INJURY RESTS SOLELY WITH THE OWNER OF SAID PROPERTY OR THE INDIVIDUAL. THE TOWN WILL INVESTIGATE AND EXERCISE ALL ACTIONS NECESSARY TO SATISFY THEIR INVESTIGATION PRIOR TO OUTLINING THEIR POSITION.
Incident/Claim Information



MM/DD/YYYY











Please insert dollar amount only.
Reporter Details

"Reporter" is the person filling out this form


Please enter your details in this Reporter Details section. 

In the Involved Person Details section below, enter the details of the person(s) for whom you are filling out this form.
























"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, property manager, employees, etc.)
Involved Person Details























To add another involved person, please select "Add Another Involved Person" on the bottom-right portion of this section. 
Involved Vehicle/Equipment

Note: If you do not know the specific details of the vehicle, please use "N/A"


If make not known, please insert "N/A"







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

Note: If you do not know the property details, please put "N/A"



If make not known, please insert "N/A"





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


To add more than one attachment, select "Add Another Attachment". To remove the additional file upload option, select "Remove".
Declaration