Camden Council Liability Claim Form

Supporting Information and Evidence

Attach all supporting information ie: photographs, invoice/receipts.

NOTE: 3MB file Size limit per attachment.

Attachment 1

Attachment 2

Attachment 3

Attachment 4

Attachment 5

Attachment 6

Disclaimers

You must read and acknowledge the following conditions before you lodge a claim

Lodgement of this form: I understand that by accepting this form and the information it contains, Council does not automatically accept liability for the incident described.

Unreasonable Claims: I acknowledge that Council reserves the right to recover costs that have been unnecessarily or unreasonably incurred while investigating this claim.

Privacy: I understand that Council will treat the information I provide in line with its Privacy Notification (available on Council's website)