0% found this document useful (0 votes)
11 views7 pages

Vehicle PropertyDamageClaimFormWithFAQs 2022

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
11 views7 pages

Vehicle PropertyDamageClaimFormWithFAQs 2022

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 7

How to File a Claim for

Vehicle or Property Damage


Potholes, flooding, and other hazards

Filing a claim against the province


If you have incurred damage to your vehicle or property and you believe the province may be
responsible, you may submit a claim to Insurance and Risk Management, Department of
Service Nova Scotia and Internal Services, for consideration.
Compensation is paid when an investigation finds that the province was negligent in their
duties and that negligence resulted in your damage. In other words, when the province is
found legally liable for the damage sustained. However, you are expected to make efforts to
minimize damage to your property. If you do not, you may be held responsible for part of the
damage cost.

Deadline: within 30 days


Submit your claim within 30 days of the incident to ensure that your claim meets the notice
requirement. Use our Claim Form (page 2) and send evidence to support your claim. Submit
your claim by email, fax, or surface mail:

risk@novascotia.ca

902-424-2325 (fax)

Insurance & Risk Management


PO Box 2205
Halifax, NS B3J 3C4

Frequently Asked Questions


Can be found on pages 3 to 7.
VEHICLE/PROPERTY DAMAGE CLAIM FORM
CLAIMANT IS REQUIRED TO PROVIDE ALL DOCUMENTS TO SUPPORT THEIR CLAIM. FAILURE
TO PROVIDE COMPLETE INFORMATION AND/OR SUPPORTING DOCUMENTS, MAY HAVE
YOUR CLAIM RETURNED FOR THE MISSING INFORMATION/DOCUMENTS.

Did you…

Complete the form and include your email? Yes __


✔ No __
Include receipts/invoices/quotes/estimates? Yes __
✔ No __
Include vehicle registration (if applicable)? Yes __
✔ No __
Include photos of all damages from various angles? Yes __
✔ No __
Include photos of the cause of your incident if possible and safe to do so? Yes __
✔ No __

Type of Claim: Yes


Vehicle Damage _________ Property Damage _________ Other ____________________________________

CLAIMANT INFO:

Name ____________________________________________________
Vincent Lausoontornsiri E-Mail _________________________________________________________
gotrotor@gmail.com

Apt # _______ Mailing Address ______________________________


56 Acorn Lane Kingston
PO Box _________ City/Town _________________ b0p1r0
Postal Code ______________

902-760-0332
Phone (Primary)______________________________ 902-389-5115
(Secondary) ______________________________ TICKET #: ____________________________
INCIDENT DETAILS:
13 March 2024
Date of Incident (day/month/year) ________________________________________________________ TIME ________
9:30 AM __ PM __

LOCATION of Incident (Please be SPECIFIC (use of google map HIGHLY RECOMMENDED) referencing direction of travel, lane, closest
intersection/road/civic #, town/city, county)
Eastbound, highway 1 Evangeline trail. Half way between Park road and sparky street intersection. Just past the Noble Grape parking lot to the east. Kingston, Kings County.

DESCRIPTION of Incident (include damages & losses, cause of damages):


On the evening of 13 Mar 24 2130hrs vehicle ran into a large pothole. Front passenger tire completely destroyed. Tires were purchased brand new 15 Jan 24. Picture of the location, pothole and
damage attached in the email. Pothole seems to be patched as of 15 Mar 24 1828hrs.

I SOLEMNLY SWEAR THAT I AM THE OWNER/OCCUPIER OF THE PROPERTY/VEHICLE DAMAGED AND THE FOREGOING IS CORRECT AND
ACCURATE AS TO THE DAMAGES INCURRED.

Digitally signed by Vincent Lausoontornsiri


Vincent Lausoontornsiri Date: 2024.03.19 12:51:35 -03'00' Vincent Lausoontornsiri 19/03/2024
Claimant’s Signature Print Name Date (dd/mm/yyyy)

T he personal information collected on this form is directly related to, and is necessary for, the administration of Ministry claims programs. T he information
collected will be used to assess and report on the incident described. If you have any questions about the collection, use and disclosure of this information,
contact the Manager, Insurance & Risk Manage ment, PO Box 2205, H alifax, NS B3J 3C4, or phone 1-888-670-7767 or 902-424-4440.

EMAIL TO: OR FAX TO: OR MAIL FORM TO:


Insurance & Risk Management
risk@novascotia.ca 902-424-2325 PO Box 2205
Halifax, NS B3J 3C4
Frequently asked questions

What is a claim?
A claim is a request for compensation for a loss due to injury or damage as a result of
another’s actions. In this case, the province or its employees. Payment for property damage
or vehicle damage is contingent upon the province being found legally liable. The injury or
damage must be sudden and accidental, not accumulated over time.

Who can make a claim?


Anyone who believes that a loss has occurred as a result of the province’s negligence can
pursue a claim against the province.

How do I make a claim?


We suggest that you contact your own insurer regarding damages first. This may be the
quickest way to have repairs completed. If your insurer believes that the province is liable,
it will contact the province on your behalf.

To submit a claim on your own behalf:

1 If the incident occurred on a road, confirm that the road is provincially controlled.
You need an exact address or location to confirm this. In some areas, a municipality
or town may be responsible for the road within its boundaries. Submitting a claim
to the correct road authority saves you time.

2 Complete our Claim Form. Be sure to submit your claim within 30 days of the incident.
It is also important to note that there is a 2-year limitation period from the date of the
loss in respect of all claims in the province.

3 Make sure that your submission contains the following information:


• Name, mailing address, email address if one is available,
and telephone number of the person making the claim
• Date, time, and location of incident — be specific about direction
of travel, lane, closest intersection/road/civic number, town/city,
county
• Description of incident — describe what took place and what
the damages are
• Supporting pictures and documents — pictures of damages,
vehicle registration, ownership documents, invoices and quotes/
estimates, and pictures of the hazard when safe to obtain them

4 Submit your claim to Insurance & Risk Management by email,


fax, or surface mail within 30 days.
Questions?
Call us
• to have a claim form mailed or faxed to you
• if you have questions about the investigation or status of the claim

Insurance & Risk Management


902-424-4440
Monday to Friday
8:30 am–4:30 pm

What is the claim investigation process?


All claims are investigated and reviewed by qualified, internal insurance adjusters.
They determine the extent to which, if any, the province may be liable for the damage.
Each claim is investigated and considered on its individual facts. We gather information
from you, department staff, any third parties who may be witness to the incident, and those
who may have been carrying out work at or near the site of the incident.
It is your responsibility to provide us with evidence or proof of your loss. Include photographs
of location and damages, date and time of day of your loss, and any other information that
can assist the investigation.
A claim with insufficient information — such as a vague location — cannot be investigated
appropriately and will be returned to you.
A fraudulent claim be will prosecuted to the full extent of the law.

How long does the process take?


About 60 business days. Insurance & Risk Management acknowledges your claim within
two weeks of receiving it. An investigation begins when your claim is received. In most cases,
you can expect a final response within 60 business days. It may take longer for complex
claims or when claim volumes are high.

If my claim is accepted for compensation,


when may I expect this compensation?
About 15 business days from the date that you accept the offer made or return the signed
final release the payment is requested through the Department of Finance. This timeframe
depends on payment request volumes within the Department of Finance.
My vehicle was damaged driving through a pothole.
What should I do?
Potholes are distortions within asphalt. They can develop quickly, especially in times of severe
moisture and with freeze-thaw cycles.
To place a claim for pothole damage, submit a claim form along with a copy of your registration
and invoice or quotes for repair. Be aware, however, of the rules for resolving pothole claims.
Pothole claims are resolved based on the Department of Transportation and Infrastructure
Renewal Highway Maintenance Service Standards: novascotia.ca/tran/publications/Highway-
Maintenance-Standards-Manual.pdf
Claims may be paid when two things were true when the loss occurred:
• the province was aware of the pothole
AND
• the province failed to repair the pothole within the service standard

Claims are denied when one of the following was true when the loss occurred:
• the province was not yet aware of the pothole
OR
• the service standard had not yet expired

Potholes are identified through our own road patrols and through public reports to the
Operations Contact Centre. Pothole claims have a low success rate.

Do not continue to drive your vehicle if it is not operating properly. Have a licensed automobile
mechanic inspect the damage. If you believe the damage will exceed your automobile insurance
deductible, contact your insurance representative. You may also wish to contact the business
where you purchased your tires to see if they are covered by a Road Hazard Warranty for
damage caused by potholes or objects on the road.
Residents are encouraged to report potholes through the TIR Operations Contact Centre (OCC):
tir-occ@novascotia.ca
1-844-696-7737
What if my claim involves a contracted company?
You must deal with the contracted company. If we discover that a contractor had control
over the location at the time of your loss, we give you the contractor’s information. It is your
responsibility to initiate a claim with them. When the province contracts with an independent
company to perform work on the province’s behalf, the contractor agrees to respond directly
to claims for damage or injury to members of the public.

How can I report a hazard?


Contact us immediately, 7 days a week, to report a hazard:
potholes, washouts, fallen tree branches, objects on the road, flooding

TIR Operations Contact Centre (OCC)


tir-occ@novascotia.ca
1-844-696-7737

Describe the location of the hazard in detail:


• the name of the street, town/city, county
• the nearest civic number OR the name of the nearest cross-street
• pictures of the hazard, if it was safe to take them

We appreciate your help in keeping our province safe — and a great place to live.

I have been told my claim is DCPD. What does this mean?


DCPD means that your claim is a direct compensation property damage claim.
This type of claim involves a vehicle owned by the province and one of the following:
• flying or falling objects
• road paint
• vehicle to vehicle incidents involving a government-owned vehicle

To file a DCPD claim, you must submit


• the date, time, and location of the incident
• the plate or vehicle number of the vehicle owned by the province

During our investigation, we run a GPS investigation on our vehicles. We speak to our field
staff to confirm a vehicle was in the area and the function it was performing.
We recommend that you make this type of claim through your insurer to expedite the process.
If you are not at fault for the damage, DCPD claims do not have a deductible and will not
increase your premiums.
My claim has been denied. What options do I have?
If your claim is denied, you may request an appeal through the Manager, Insurance and
Risk Management. The manager reviews the file and makes a separate determination.
If your appeal is denied by the manager, you have two options:
• You may select an independent insurance adjusting firm to conduct a
review from a list we provide. We submit the claim file for review. The cost
of an independent review is covered by the province. A decision made by
an independent adjuster is binding. No further appeal is allowed.
• You may file an action with the Supreme Court to seek legal remedy.
Cases against the Crown cannot be heard in Small Claims Court.

What if my property floods due to the actions of the province?


You may submit a property damage claim for flooding and water damage using the
claim form. Include the date, time, and location of the flood AND photos of your damages.
An adjuster will contact you to gather more information. The adjuster determines whether
a site visit is warranted. A determination of liability is made from the adjuster’s investigation.

What if I damage provincial property with my vehicle?


When you damage provincial property, like a guardrail or a traffic control device, you may
be found responsible for the damage. This is usually paid by your insurance company.
However, if you don’t have insurance, a judgment may be initiated against you.

Please contact 1-844-696-7737 if you have damaged provincial property.


Find the claims form here: novascotia.ca/tran/publications/claim%20form.pdf

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy