Insurance claims against the council

Hidden information

Queue Record Id

Record Type Id

Your details

If you believe we could be responsible for personal injury or damage to your property, you may be able to make a claim for compensation in order to make a claim, please complete the form below. Please include as much detail as possible to allow us and our insurer to investigate

Your name

Address

Postcode

Date of birth

National insurance number

Contact telephone

Details of the incident. Please include the exact location.

Details

Date of incident

Time of incident

HH:MM eg 21:15

Details of any injuries or damage to property

Details of how or why you feel the council have acted negligently

Upload any relevant documents or photos to support your claim