File a Damage Claim | Town of Innisfil

Before you begin

Is this for a vehicle or property damage claim?

Vehicle

Property

Personal injury

Water and sewer

If you believe that the Town of Innisfil has failed to maintain our roads, and you have incurred vehicle damage as a result, you can submit a Statement of Damage claim. By accepting this form, the Town of Innisfil does not accept liability.

Step 1: Confirm that your damage is within the Town's road jurisdiction. See road jurisdiction map.

Step 2: Report the claim to your insurance company. If the Town is legally at fault, they will collect from us.

Step 3: Complete this Vehicle Damage Claim form and submit it with all supporting documentation to our Customer Service department within 10 days from the date of the incident. Customer Service will then log the damage claim into our tracking system, assign it a damage claim number, and forward it to our Legal Services department. Legal Services will conduct a fair and impartial investigation of liability on a without prejudice basis and respond within 90 days of receiving your claim. However, your claim may be assigned to a claims and risk analyst or the Town's insurer for handling.

Before you fill in this form, please ensure you have the following required documents:

Photo of the damage
Photo of the location
Invoices or estimates for the repairs

Only damage claims that include all supporting documentation will be reviewed.

If you believe that the Town of Innisfil or InnServices has failed to maintain our facilities, roads, or trees, and you have incurred property damage as a result, you can submit a Statement of Damage claim. By accepting this form, the Corporation of the Town of Innisfil does not accept liability.

Step 1: Report the claim to your insurance company. Your insurer will review/process your claim. If the Town is legally at fault, they will collect from us.

Step 2: Complete this Property Damage Claim Form and submit it with all supporting documentation to our Customer Service department as soon as possible. Customer Service will then log the damage claim into our tracking system, assign it a damage claim number and forward it to our Legal Services department. Legal Services will conduct a fair and impartial investigation of liability on a without prejudice basis and respond within 90 days of receiving your claim. However, your claim may be assigned to a claims and risk analyst or the Town's insurer for handling

Before you fill in this form, please ensure you have the following required documents:

Photo of the damage
Photo of the location
Invoices or estimates for the repairs

Only damage claims that include all supporting documentation will be reviewed.

If you believe that the Town of Innisfil has failed to maintain our facilities, roads, or trees, and you have incurred personal injury as a result, we recommend that you get independent legal advice or consult with your insurance company.

If you believe that InnServices has failed to maintain its water or sewer infrastructure, and you have incurred property damage as a result, you must contact InnServices directly.

Contact InnServices

Insurance and Warranty

Do you have any insurance or warranty of any type under which such damage may be recoverable?

Yes

Did you contact your insurance company prior to submitting this claim?

Yes

Please explain why insurance was not contacted.

Personal Information

First Name

Last Name

Address

City/Town

Postal Code

Phone

If you have already contacted the Town, please include a case number:

Incident Information

Incident Date

Approximate Time

Road Name

Nearest Intersection

Precise Location or Landmark

Damage to Vehicle

Description of Damage to Vehicle

Year/Make/Model and Kilometres on Vehicle

Did the police attend the scene?

Yes

Police Report Number:

Schedule of Loss

Total Amount Being Claimed (inclusive of taxes)

Breakdown of Claim Items

Summary of Repairs or Replacement Costs

Photos(s) of Damage

Maximum 5 files.
64 MB limit.
Allowed types: gif, jpg, png, jpeg.

Photos(s) of Area

Maximum 5 files.
64 MB limit.
Allowed types: gif, jpg, png, jpeg.

Receipts, Invoices, or Quotes

Maximum 5 files.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png, jpeg.

Acknowledgment

I swear or affirm that the above information is true and correct to the best of my knowledge, information, and belief.

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.

I acknowledge that the Town's receipt of this form does not constitute acceptance of liability for any damage or loss sustained.

While investigating your complaint, in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), the Corporation of the Town of Innisfil (the "Town") will only disclose your personal information to staff and service providers who require the information to perform the investigation. Your personal information will not be shared with anyone else unless you provide written consent for such sharing or where the Town is compelled by law to do so. If you have any questions about the collection, use or disclosure, contact the Records Coordinator from Clerk Services at the Town of Innisfil.