Submit a Claim

Address of Claimant(s)
Unlimited number of files can be uploaded to this field.
64 MB limit.
Allowed types: jpg, jpeg, png, txt, rtf, html, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3.

If claim involves property damage, please provide the following insurance information below:

Address of Claimant's Insurance Company

Personal information contained on this form is collected pursuant to the Freedom of Information and Protection of Privacy Act/Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your claim. Questions about this collection should be directed to the Director of Corporate Services/Clerk of the Town of Lincoln.