| |
Risk Management Related Areas
|
rev. 7/25/00 CLAIM INFORMATION SHEET PLEASE READ THE FOLLOWING INSTRUCTIONS COMPLETELY BEFORE COMPLETING THE NOTICE OF CLAIM FORM. (1) The Notice of Claim form must be completed in its entirety and returned to the City of Lewisville. The form should be sent to the attention: City Secretary, City of Lewisville, PO Box 299002, Lewisville, TX 75029-9002. Your claim must be presented within 180 days of the occurrence. (2) The receipt of a Notice of Claim form against the City is not an admission by the City of liability for the alleged damage or injury, nor is it a promise to pay for the injury or property damage. Once the claim form is received, it will be forwarded to the City's Claims Adjuster, Texas Municipal League, for review. A representative of Texas Municipal League will contact you at the address and phone number listed on the Notice of Claim form. Every effort will be made to handle your claim as quickly as possible. (3) The receipt of proper documentation to substantiate your claim will allow the fastest handling of your claim. Types of documentation that may be requested include: (a) medical reports/medical statements; (b) fully itemized estimate of damages; and or repairs (c) a complete description of damaged property including brand name, model/make, year, serial number, date of purchase, purchase cost, etc.; (d) photographs (if available); (e) witness statements; and (f) police reports (if applicable). The provision of any of the information listed above does not guarantee the payment of your claim. The City's insurance carrier reviews all claims in relation to Title 5. Governmental Liability Chapter 101. Tort Claims and other applicable law and determine claim liability. City staff does not determine claim liability. (4) Your claim is not considered submitted, nor proper notice received, unless the Notice of Claim Form and City Charter Provision Notice are properly completed and signed, or unless the same information is submitted in a letter format. Speaking to any City employee or a letter without all the requested information does not serve as proper notice. (5) If you need additional information regarding the claim filing process, please contact the City's Human Resources Department at (972) 219-3450. |
| ©City of Lewisville All Rights Reserved | Thank you for your interest in Lewisville, TX | Privacy Policy, ADA Compliance |
| CONTACT US | ||
| 151 W. Church Street 972-219-3400 - Phone 972-219-3410 - Fax | ||