Free Notice of Accident Form_ to the City of Ontario


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Free Notice of Accident Form - Ontario


To: Mr./Ms. XXXX, City Clerk, City of XXXXX, Ontario


Copy to: Mr./Ms. XXXX, City Solicitor, City of XXXXX, Ontario


Date: Day, Month, Year


Re: Notice of an Injury on City Property


Dear Mr./Ms. XXXX,


This notice is to inform the City that I have had an accident on City

Property. Here are the details:


Date of Accident:


Time of Accident


Location of Accident


My date of Birth:


My Name:


My Address:


I reserve all my rights in this matter.








c.c. City Solicitor