City Hall Seniors Living Internal Business Visiting Online Services Business Crossing Guards Living Living City Hall PACAC Geomatics/Mapping Mayor's Action
Committee
Emergency & Risk Management Accessibility Transit Search Wellness Centre FAQ Sitemap Contact Us Living Living News Living Election Wall of Honour Business
City living image
   
Reduce Text Size Reset Text Size Increase Text Size

Incident Report

This Incident Report is for members of the public to complete should they believe the City of Peterborough has been negligent and they have suffered property damage or personal injury.

Note: The personal information on this form is collected under the authority of the Municipal Act 2001, S.O. 2001, C.25 and will be used to investigate your claim against the City of Peterborough.  Questions about the collection of this personal information should be directed to the Insurance and Risk Coordinator, Emergency and Risk Management Division,

500 George Street North, Peterborough ON K9H 3R9 (T) 705-742-7777 ext. 1652.

Page 1 of 4
Contact Information
Required
Required
Required
 
 
Required
 
Incident Information
Required
Pick date
:
Required
Pick date
:
Incident Type
(choose all that apply)
Required
Required
Location Information