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Dear Mr. /Mrs. /Ms. On / /20 you contacted the City of Detroit Water and Sewerage Department City to file a claim alleging that on / /20 it was discovered that you had sustained property damage or personal injury as a result of an overflow or backup of a sewage disposal system. Enclosed is a claim form that you must complete and return to the City as directed on the form 1. Detroit Water Sewerage Department Maintenance Repair Division Claims Section Phone 313 267-7401 Fax 313 267-6284 6425 Huber Ave Detroit MI 48211 Date Claimant s Name Address affected Property / /20 Same as above. Michigan law requires that if you are seeking compensation for property damage or personal injury caused by a sewer overflow or backup you must show that 1. The City is a governmental agency that at the time of the overflow or backup owned or operated or directly or indirectly discharged into the portion of the sewage disposal system that allegedly caused damage or physical injury 2. The sewage disposal system had a defect 3. The City knew or reasonably should have known about the defect 4. The City did not take reasonable steps in a reasonable time to remedy the defect 5. The defect was 50 or more the cause of the event and the property damage or personal injury and 6. You have reasonable proof of ownership and the value of the damaged personal property. The law further requires that you comply with certain notice requirements. This means that any claim you make to the City must be made in writing within 45 days after the date the property damage or physical injury was discovered* The written notice must contain your name address telephone number the address of the affected property the date of discovery of any property damage or physical injury and a brief description of the claim* Within two weeks of receipt of your completed claim form and all required supporting documents the Water and Sewerage Department Claims Section will send you a letter notifying you of your claim number. We will then review the submitted documents conduct our investigation and process your claim in approximately 90 days. Thereafter you will be notified in writing of the City s decision on your claim* If at any time during this process you have questions please contact our Claims Section representatives at 313 267-3676. So that we may better assist you please have your claim number available when you call* Sincerely Supervisor Telcom Center Water Systems Maintenance The Adobe Acrobat pdf version of this form is also available for downloading at www. Michigan law requires that if you are seeking compensation for property damage or personal injury caused by a sewer overflow or backup you must show that 1. The City is a governmental agency that at the time of the overflow or backup owned or operated or directly or indirectly discharged into the portion of the sewage disposal system that allegedly caused damage or physical injury 2. The City is a governmental agency that at the time of the overflow or backup owned or operated or directly or indirectly discharged into the portion of the sewage disposal system that allegedly caused damage or physical injury 2. The sewage disposal system had a defect 3. The City knew or reasonably should have known about the defect 4.

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