We recommend you contact your insurance company first. They can advise you on how to deal with injury or damage. Your insurance coverage may be more extensive than what you can receive from the Town. Additionally, if your insurer believes Cochrane is responsible for your damage, they may seek compensation on your behalf. The Town will only provide compensation when found legally liable for the damage sustained.
BY PROVIDING YOU WITH THIS FORM, THE TOWN OF COCHRANE DOES NOT ADMIT ANY LIABILITY FOR THE DAMAGES. THIS FORM IS SOLELY USED FOR INVESTIGATION PURPOSES OF THE INCIDENT DESCRIBED BELOW.
For completion by the claimant (party claiming the Municipality is responsible for damages to their property or person).
Attach min. two estimates of the cost of repairs or repair invoice(s) with proof of payment.
Please note: Town crews will not attend private property to conduct repairs. Any repairs on private property are the responsibility of the property owner. Property owners have the right to choose who they use for repairs to their own property. The Town does not provide or make any recommendations on contractors to be used when fixing private property.
Payment of damages will be determined once your claim has been investigated and liability has been determined.
34(1)(a)(i) of the Freedom of Information and Protection of Privacy Act states that a public body must collect personal information directly from the individual the information is about unless another method of collection is authorized by that individual. To provide witness information you must have their consent to do so.
By completing this form, I solemnly state that the above-mentioned information is true to the best of my knowledge and belief and I am the legal owner of the vehicle and/or property described in this form.
I solemnly state that I am the legal parent/guardian of the minor claimant.
