Skip to content
Home page
Site map
Search
A-Z of services
Help
Complaints
Enquiries
Feedback form
List of access keys
Language

Public liability claim form

Page 1 of 3

If you are a Tandridge resident, please enter your postcode in the box below, including the space, ie RH8 0BT, and click the search button.






Page 2 of 3

Details of incident

You may be required to provide a sketch map at a later date
Are photographs available?


Were any injuries sustained?


Page 3 of 3

Was any property damaged?


Please supply estimates or invoices where possible
Did any other person or contractor directly contribute to the cause of this claim?



Declaration *
I declare that the information given above is true to the best of my knowledge and belief and, I authorize the Council to make any necessary enquires to verify the information provided. I will notify the Council immediately if there are any changes to the above information.


Signature
Date
/ /