Fillable Mail Box Claim Form Meriden, CT 06450-5605 142 (City of Meriden)

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Mail Box Claim Form Meriden, CT 06450-5605 142 (City of Meriden)

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City of Meriden
142 East Main St.
Meriden, CT 06450-5605
Mail Box Claim Form
Completed forms can be emailed to cityclerk@meridenct.gov or mailed/delivered to the
City Clerk at 142 East Main St., Meriden, CT 06450.
Date of Loss: ______________________________________________________________________
Name: _____________________________________________________________________________
Address: ___________________________________________________________________________
Phone Number: (Home)_____________________________ (Cell)____________________________
Damaged Item
______
Mailbox Only
______
Mailbox and Post
Comments
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PLEASE ATTACH ESTIMATE OR REPAIR BILL AND ANY PHOTOS OF
DAMAGE.
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Mail Box Claim Form Meriden, CT 06450-5605 142 (City of Meriden)

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Completed 28 February 2022

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