Fillable NOTICE OF CLAIM occurrence at the Smithtown Town (Town of Smithtown)

Fill Online, Printable, Fillable, Blank NOTICE OF CLAIM occurrence at the Smithtown Town (Town of Smithtown) Form

Use Fill to complete blank online TOWN OF SMITHTOWN (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

NOTICE OF CLAIM occurrence at the Smithtown Town (Town of Smithtown)

On average this form takes 6 minutes to complete

The NOTICE OF CLAIM occurrence at the Smithtown Town (Town of Smithtown) form is 3 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Smithtown

BROWSE TOWN OF SMITHTOWN (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 3
NOTICE OF CLAIM
Claim must be filed in person or by registered or certified mail within 90 days of the
occurrence at the Smithtown Town Clerk’s Office, 99 West Main Street, Smithtown, New York
11787-0646. It must be notarized. Please refer to “Instructions for Filing a Notice of Claim
against the Town of Smithtown” when completing this form.
I am filing: On behalf of myself.
On behalf of someone else. If on someone else’s behalf, please provide the
following information.
Last Name: Attorney is filing.
First Name: Attorney Information (If Applicable)
Relationship Firm or
to claimant: Last Name:
Firm or
First Name:
Address:
Claimant Information
Last Name:
First Name:
Address:
Phone:
Email:
Date of Birth:
Phone:
Email:
Occupation:
Page 2 of 3
Time and place where the claim arose.
Date of Incident:
Time of Incident:
Location of
Incident:
Manner in which
claim arose:
(Attach extra
sheet(s) if more
room is needed.)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

NOTICE OF CLAIM occurrence at the Smithtown Town (Town of Smithtown)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document