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Insurance Claim Form

If you have had an incident and you believe that the City is liable you may file an Insurance Claim request. The claim will be forwarded to the appropriate department(s) and the City's insurance adjustor for investigation.

Please fill out the following information and submit for processing.

Date of Incident:

First and last name:

Telephone Number:

Mailing Address (include Street, P.O. Box, City, Province, and Postal Code):

Email address:

Describe what happened. Please provide as much detail as possible.

Why do you feel the City is at fault?:

Once you have completed the above fields, please click on the submit button below.

A confirmation e-mail will be sent to the address you provided above.