Vehicle PropertyDamageClaimFormWithFAQs 2022
Vehicle PropertyDamageClaimFormWithFAQs 2022
risk@novascotia.ca
902-424-2325 (fax)
Did you…
CLAIMANT INFO:
Name ____________________________________________________
Vincent Lausoontornsiri E-Mail _________________________________________________________
gotrotor@gmail.com
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.
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.
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.
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.
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.
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.
We appreciate your help in keeping our province safe — and a great place to live.
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.