Claim Notification Form

Use this form if you wish to proceed with a claim against Council for loss or damage arising from the reported incident.

Complete and submit the attached form together with your supporting documentation.

The process of investigation and determination can take up to 8 weeksWhile we endeavour to respond to claims as quickly as possible, such claims can be complicated. We ask for your patience and co-operation while your claim is investigated and assessed.

All claims will be assessed in accordance with the NSW Civil Liability Act 2002. Accordingly, Council may not be liable for damages arising from potholes or other hazards unless Council was aware of that particular risk and failed to address the issue.

For a claim to be considered, evidence must be provided to us for consideration. The onus lies on the claimant to provide sufficient evidence or proof to substantiate the claim. The lodgement of this claim form does not mean Council automatically accepts liability.

In Person

Step 1.Complete the form

Download, print and complete our Claim Notification Form(PDF, 313KB). Please make sure to bring this with you.

Step 2.Visit our offices

Visit our Civic Centre between 8.30am and 4.30pm weekdays to finalise your request.

By Mail

Step 1.Complete the form

Download, print and complete our Claim Notification Form(PDF, 313KB).

Step 2.Send us your completed form

Either by email to:

Or by post to:

Wingecarribee Shire Council, 
PO Box 141, 
Moss Vale NSW 2577