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Welcome

Please review the Risk Management Information on our website prior to completing this form.

Once complete, click Submit and a member of our staff will review your claim and respond as soon as possible.

Thank you. 

Please complete the following information for the individual making the claim.
If you are submitting the claim on behalf of someone else, please indicate your name and contact information in the Additional Information section at the end of this form.

If the incident occured within the City of Peterborough, please visit their website for instructions and details on making a claim.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please Note: Personal information contained on this form is collected under the authority of Section 29(2) of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56 as amended and will be used to assist in the correct processing of the application. If you have any questions about the collection, use or disclosure of this information by the County of Peterborough, please contact the Clerk, County of Peterborough, 470 Water Street, Peterborough, Ontario K9H 3M3 at clerksoffice@ptbocounty.ca or 705-743-0380.