This request for information does not constitute an acceptance of your claim but permits the Corporation of the City of Sarnia or its Insurance Representatives to properly record and investigate your claim.
Our employees are instructed to provide this form to you and are not authorized to accept responsibility for claims made. It may be in your best interests to report this matter to your own insurance company.
Please note that claims in which the municipality is not notified within ten (10) days from the time injury or damages were sustained may be statute barred. Also note that legal action which is not brought or commenced within two years from the time injury or damages were sustained may be statute barred.
THE INFORMATION PROVIDED HEREIN IS TRUE, I UNDERSTAND THAT FRAUDULENT CLAIMS COST ALL TAXPAYERS, AND FOR THIS REASON, ALL FRAUDULENT CLAIMS WILL BE PROSECUTED TO THE FULL EXTENT OF THE LAW.
You will be contacted in writing in the near future. Thank you for your co-operation.