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This is the online claim submission form only. A downloadable version of the form is also available via the forms page.

Type of compensation sought
Contact details
Title
Incident details
Did you contact Council staff at the time of the incident?
Compensation sought
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Insurance details
Have you claimed against your insurer?
Witness details
Did anyone witness the incident?
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Evidence
Do you wish to attach evidence to this form?
To progress your claim for compensation you will need to establish Council caused the alleged loss and/or damage through some form of negligence. In any public liability claim, the burden of providing proof of negligence rests with the person seeking compensation. Council cannot assist. If your claim is for a tree or pothole related matter, please refer to the tree or pothole evidence page on the website for the required information.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Photos
Do you wish to attach photos?
Upload up to 6 photos
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png.
Authority for an agent to act
Do you wish for a third party to act on your behalf in this claim?
Electronic confirmation

Council will investigate the circumstances surrounding your claim to establish whether or not Council has any legal liability.

Completion and acceptance of this form does not represent an admission of liability or a waiver of its rights on the part of Council.

Your claim will be subject to investigation and the findings assessed on their own merits. Council may refer your claim to its insurer or to another third party in managing or investigating the claim.

Council will endeavour to respond to claims as quickly as possible. However the processing of claims is dependent on the supply of relevant information and assessment of your claim may take some time to complete.

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