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Download
Claim Form
Wisconsin law specifies a procedure
that must be followed for any person who believes they have a claim against
the City. Wisconsin law requires Notices of Claims and Claims to be filed
within certain statutes of limitations. You must comply with these time
limits or any claim submitted will be denied. In most instances, a Notice
of Claim must be filed within 120 days from the date of the incident or will
be barred by the Statute of Limitations.
In order for the City to make a determination
regarding your claim, a Claim stating the specific damage(s) sought, circumstances
surrounding the claim, and supporting documentation must be completed, dated,
signed and submitted to the City Attorney's office. This is the bottom
portion of the form entitled "Claim Form". Until this
portion is completed and submitted to the City, no action will be taken.
Investigation and determination can
take up to 4-6 months depending on complexity of the claim. Often,
a claimant must mitigate his/her damages prior to final determination.
The City Risk Manager and/or CVMIC
(the City's liability insurance carrier) will determine if your claim should
be paid, compromised or disallowed. You will be notified by letter
should the City determine to pay or compromise your claim. If your claim
is determined to be disallowed, the matter will be referred to the Common Council
for formal disallowance. You will be notified by letter of the Council's
action.
This procedure is established by State
Statutes to provide a mechanism for persons to recover recover damages in the
event a municipality is responsible for an incident. This procedure is
also designed to protect the municipality and its taxpayers from having to pay
out inappropriate and/or nuisance claims.
People who have retained an attorney
to represent them have a modified procedure. Legal ethics prevent an attorney
from discussing a case with an individual who has an attorney without that attorney's
presence. Anyone contacting the City Attorney who say they have an attorney
will not be able to discuss the matter with the City Attorney.
The City is part of Cities and Villages
Mutual Insurance Company (CVMIC) for liability insurance. The city currently
carries a self-insured retention (deductible) of $25,000.
Forms for filing claims can be obtained
from the City Attorney's office or downloaded
from this web site.

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