Camden Council Liability Claim Form

Please ensure you have read the Claims for Loss or Damage page of our website before you commence a claim.

Claims will only be assessed if this claim form is correctly completed, and all relevant documents and evidence are provided.  

Claimant Details
Is your home address also your postal address ?
Claim Type
Where did this incident occur ?
Have you made a claim with your insurer for this incident ?
Weather conditions at the time of incident?
Supporting Information and Evidence
Attach all supporting information ie: photographs, invoice/receipts.
NOTE: 3MB file Size limit per attachment.
You must read and acknowledge the following conditions before you lodge a claim

Once the Liability Claim Form is submitted you will receive an email acknowledging that we have received your form. Our Risk Management Team will be in contact with you within 10 business days via email with an outcome.