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Make a Claim

Information on the Municipality of Kincardine's claims process can be found on our website.

Please note: There is a ten (10) day notice period for certain types of claims. There is also a two (2) year limitation period for bringing legal action with respect to most claims.

Please use the attachment section of this report to upload photos or other relevant documentation related to your claim.

Personal Information of Claimant:

Does your contact information differ from the details provided above?
 

Incident Information:

Emergency Personnel Attended (Check all that apply)
 

Witness Information:

Did anyone witness the incident?
 

Witness #1

Witness #2

Files and Attachments

Please include any photos, invoices/quotations and any other relevant documentation in support of your claim

 

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Do you have additional files or attachments to provide?
 

Reporting Information:

Is this your first time reporting this incident to the Municipality?
 

Submission Confirmation

I confirm that all information submitted is accurate and complete to the best of my knowledge. I further understand that false or fraudulent claims cost all taxpayers and, for this reason, any such claims will be prosecuted to the full extent of the law.
 

 

The personal information collected to investigate your claim is collected under the authority of the Municipal Act, 2001 and the Insurance Act of Ontario and will be disclosed to staff and service providers who require the information to investigate your claim.



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