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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.

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