Claim for compensation: potholes

CN maintains a large network of roads and we perform routine inspections, maintenance and repair in accordance with an established program of works taking into account available resourcing and priorities.

In determining whether CN is liable to pay compensation for damage alleged to have been caused by a pothole, CN works within the framework provided for by the NSW Civil Liability Act 2002 (the CL Act). The CL Act recognises that functions exercised by councils are limited by available financial and other resources.

This means CN is liable for pothole claims in very limited circumstances.

You may wish to forward your claim onto your motor vehicle insurance company for their consideration or seek your own legal advice.

Personal details
First Name*:
Last Name*:
Email*:
Contact number*:
Address*:
Suburb*:
State*:
Postcode*:
Details of claim
Details of the incident*:	Provide as much detail as possible including contributing factors, e.g. weather, speed.
Date of the incident:	Today
Time of the incident:	Be as specific as possible, for example, '7.30am' 'approximately 7am' or 'between 7am and 8am'
Location of the incident*:	Please provide address and/or description of location. Provide as much detail as possible.
Amount you are claiming including breakdown of costs*:	Provide as much detail as possible.
Authority for an Agent to Act
Do you wish for a third party to act on your behalf in this claim:	Yes No If you wish for a third party to act on your behalf, this section must be completed.
Acknowledgement
Declaration and Acknowledgement*:	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) does not represent an admission of liability on the part of City of Newcastle and/or our insurers.

Privacy Statement

City of Newcastle is committed to protecting your privacy. We take reasonable steps to comply with relevant legislation and our Privacy Management Plan, regarding collection, storage, use and disclosure of your personal information.

Purpose of collection: We will use your personal information to process your claim.

Intended recipients: Authorised City of Newcastle officers, contractors, or agents.

Supply: Voluntary.

Consequence of non-provision: We may not be able to process your claim.

Storage and security: Information will be stored in our electronic databases and will only be available to authorised City of Newcastle officers, contractors or agents.

Access: Your information can be checked for accuracy by calling us on (02) 4974 2000.