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Get the free PUBLIC INJURY ANDOR DAMAGE REPORT FORM - prospect sa gov

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PUBLIC INJURY AND/OR DAMAGE REPORT FORM City of Prospect PO Box 171 PROSPECT SA 5082 128 Prospect Road PROSPECT SA 5082 Phone: 08 8269 5355 Fax: 08 8269 5834 Email: admin prospect.SA.gov.AU Office
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How to fill out public injury and/or damage:

01
Begin by providing your personal information. Include your name, address, phone number, and any other contact details requested.
02
Next, provide a detailed description of the incident. Explain what happened, where it occurred, and any contributing factors or parties involved.
03
If there were any witnesses to the incident, provide their contact information and a brief statement of what they saw or heard.
04
Document any injuries or damages sustained as a result of the incident. Be specific about the extent of the injuries, medical treatment received, and any expenses incurred.
05
If applicable, include any supporting documents such as medical records, photographs of injuries or damages, police reports, or any other evidence that can substantiate your claim.
06
Finally, sign and date the form before submitting it to the appropriate authority or insurance company.

Who needs public injury and/or damage:

01
Individuals who have experienced personal injuries or property damages in a public setting may need to fill out a public injury and/or damage form.
02
Business owners or property managers who are responsible for the public premises where an incident occurred may also need to complete this form.
03
Insurance companies or legal professionals involved in assessing and processing claims related to public injuries or damages may also require this information.
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Public injury and/or damage refers to harm or loss caused to the public or public property.
Any individual or organization that causes public injury and/or damage is required to file.
To fill out public injury and/or damage, one must provide detailed information about the incident, including date, time, location, and extent of damage.
The purpose of public injury and/or damage reporting is to ensure accountability and provide compensation to affected parties.
Information such as the incident details, parties involved, extent of damage, and any insurance information must be reported.
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