Claim for Compensation

Claims Investigation Process

Only complete this form if you are the person claiming personal injury or you are the owner of the motor vehicle or property.

If you wish for a third party to act on your behalf please complete Section 11.

If you wish to make a claim against the City of Newcastle, there are 2 options:

1.  Make a claim against your own insurance policy - for a Property or Motor Vehicle Claim.

Your Insurer may consider seeking recovery against City of Newcastle. Please note that this option may result in an initial upfront payment to your insurer for the applicable excess. In general, insurance companies will pursue usr reimbursement where they consider us to be liable. In such cases, the excess amount may be waived. You should discuss this with your insurer prior to lodging a claim with us.

2.  Make a claim directly to City of Newcastle - for Personal Injury or a Property or Motor Vehicle Claim

If you are seeking compensation directly from us for injury, loss or damage arising from an incident, please complete the ‘Claim for Compensation’ form below and provide photographs and documentation as required.
 

We will investigate the circumstances surrounding the incident to establish whether or not we have any legal liability.

Completion and acceptance of this form does not represent an admission of liability or a waiver of its rights on the part of Council.

Your claim will be subject to investigation and the findings assessed on their own merits.

Wel will endeavour to respond to claims as quickly as possible. However the processing of claims is dependent on the supply of relevant information and, therefore, assessment of your claim may take some time to complete.
 

Complete on-line submission

1.  Contact
Did you contact us to report the alleged accident / incident?:

2. Type of compensation sought
Please select the compensation being sought:



3. Your contact details
These are mandatory fields
Correspondence:

Do you agree for all correspondence to be sent to you via email
Please provide preferred method of contact
4. Date and time of alleged accident \ incident
Today
Date and time are mandatory fields
5. Location of alleged accident \ incident
Please provide details of the nearest cross street and/or any identifying landmark. This will assist in identifying the exact location of the alleged accident/incident.
6. Details of alleged accident \ incident
Did you report this to a City Officer at the time of the alleged accident \ incident occuring?:

Please provide the name of the Council officer plus any other relevant details.
7. Insurance details
Have you claimed against your insurer:

8. Witness
It is the responsibility of the claimant to obtain the witness statement and submit with your claim.

If a witness statement has not been attached to your claim, Council will not contact the nominated witness. A decision will be made in the absence of such evidence. 
 
Did anyone witness the accident / incident?:

9. Evidence

Evidence:

  • In order to progress your claim for compensation you will be required to establish that Council casued the alleged loss and/or damage through some form of negligence
  • In any public liability claim, the burden of providing proof of negligence rests with you as the person seeking compensation. Council cannot assist you in this
  • If your claim for compensation is for a tree or pothole related matter, please refer to the tree or pothole evidence page on the website for the required information.


Supporting documentation:

  • For property/vehicle damage claims, please attach any supporting documentation to substantiate your loss
  • Please also note that the request of this information must not be seen as an automatic acceptance of liability
  • All claims are assessed based on their own merit and payments made will come from Council funds.
Example - qualified service provider report/s from a licenced plumber, engineer etc
Please reference the supportng documentation you are supplying. Example - quotations
Is the evidence and supporting documentation uploaded to this form?:

If you select No this will delay processing your application. We require evidence to evaluate your claim.
10. Photographs
One of the most effective ways to avoid confusion about the circumstances surrounding your claim for financial compensation is through the use of photographs. We use photographs to ensure that we are investigating the correct location and/or issue.  
 
Only take photographs if it is safe to do so.
 
You are requested to provide a variety of shots and angles to clearly show the situation that supports your claim for compensation.
 
Your photographs need to show the following (where applicable): 
  • The area of property that has sustained damage
  • A clearly marked area where the incident occurred
  • Injuries sustained 
See examples of the types of photos required for tree root, footpath and motor vehicle claims
 
Have you attached the required photos?:

If you need to attached more than six photographs please email them to claims@ncc.nsw.gov.au
11. Authority for an Agent to Act
Do you wish for a third party to act on your behalf in this claim:

12. Acknowledgement
I declare that the information supplied to the City of Newcastle in this claim form is true and correct and confirm the statements are honestly made.
 
Completion and acceptance of this form (including completion of the Authority for an Agent to Act, when completed) does not represent an admission of liability on the part of the City of Newcastle and/or our insurers.
 
Your claim for compensation will be subject to investigation and will be assessed on its own merits.
 
I declare that the information supplied to Council in this claim form is true and correct and confirm the statements are honestly made. Completion and acceptance of this form (including completion of the Authority for an Agent to Act, when completed) does not represent an admission of liability on the part of Council and/or their insurers. Your claim for compensation will be subject to investigation and will be assessed on its own merits.


 

Privacy Disclaimer

City of Newcastle is committed to protecting your privacy. We take reasonable steps to comply with relevant legislation and our Privacy Management Plan. By giving us your personal information you consent to us collecting, storing, using and disclosing it in accordance with our Record Management Policy.
 
Purpose: We will use the information to process your claim
Intended recipients: Authorised Officers, contractors or agents
Supply: Voluntary
Consequence of non-provision: We not be able to process your claim
Storage and security: Your information will be stored in our electronic database and will only be available to authorised Officers, contractors and agents and will be kept in accordance with the State Records Act and our Record Management Policy
Access: Your information can be checked for accuracy by calling us on (02) 4974 2000 or attending the City Administration Centre at 282 King Street, Newcastle.
 
Printable Form