• All claims for personal or property damages resulting from a defect in the public way must be filed within thirty (30) days of the date of the incident per the Statute of Limitations, Massachusetts General Laws Chapter 84, § 18.  
• All other negligence-based claims generally must be received by the Boston Water and Sewer Commission within two years of the incident, per the Statute of Limitations of the Massachusetts Tort Claims Act, M.G.L. 第258章. Submission of this form does not constitute notice to the Executive Director of the Boston Water and Sewer Commission for purposes of M.G.L. 第258章第4节.  
• Boston Water and Sewer Commission is a public agency and its records, including the information requested on this form, 是公共记录吗?, unless otherwise specifically exempted under M.G.L. Chapter 66, § 10, and may be subject to public disclosure.

请注意:

− In addition to this form, please submit any additional documents that support your claim, including but not limited to photographs, 评估, 估计, 医疗费用, or receipts of any kind relating to the claimed loss. BWSC will review a claim only when such supporting information is provided.

− 请 不 include or attach any personally identifying information, such as social security numbers, 医疗文件, health care policy numbers, or other similar information.

− For property damage claims:

•  Claimants must provide documentation to support proof of damages and alleged losses, such as repair 估计, 分项收入, 和照片.
• Claimants are encouraged to contact their insurance companies.

− 车辆索偿:

• The owner of the vehicle must be the claimant submitting this form for consideration. If this claim for vehicle damages is due to a defect in the public way, the Commission may request additional information regarding vehicle ownership.
• Proof of vehicle ownership (e.g., vehicle registration) must be submitted as a supporting document with any claim for vehicle damages.

− For subrogation claims:

• 请 include the policyholder’s name and your file number as part of the “Claimant Information” section.

− 请 sign and date this form. BWSC will not accept or process unsigned claims forms.

BWSC strives to complete its review of the claim within four to six weeks of its receipt of all relevant information; however, for claims filed in response to major water or sewer events, BWSC will confirm receipt of all claims in a timely manner and will make its best efforts to provide updates to claimants throughout its review. 请理解, due to the complexity of the issues involved in major water or sewer events, the claims process will take longer than six weeks to review.