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Processing Claim for Compensation Form

This form is used solely for the purposes of processing your claim for compensation, Cornwall Council does not accept this form as a notification of defect. To notify us of a defect on the highway, you must telephone 0300 1234 222.

Please provide as much information as possible so that we can investigate your
claim fully and fairly.

What you need to include

To prevent a delay in processing your claim please have ready to upload;

  • The reference number of the reported defect - this will start with a W or a M
  • Map marking the location
  • Photographs of the defect and surrounding areas (if available)
  • Photographs of the damage (if available)
  • Independent estimates of the damage repair

Cornwall Council has a responsibility to its Council tax payers to ensure that all claims are assessed individually and fairly; Where the Council could be held legally liable compensation will be arranged in a timely manner.
The Council and its insurers have an anti-fraud system in place to assist them in detecting dishonest claims and taking appropriate action. 

Please note: Claims without precise location information, date and time of incident cannot be investigated. Please enclose photos of the damage incurred and the defect where possible.

Personal details
Incident details

Please select a date using the calendar

Please enter the time in 24-hour format

Incident location

(for example travelling from the direction of High Lanes towards Queen's Road or from Liskeard to Launceston)

Damage to property only

If the repair works are estimated to cost over £500 you must enclose
copies of two independent estimates. If work was required immediately
please provide copy/copies of invoice/s for the works carried out. If
repairs are estimated at under £500 then only one estimate is required.

Vehicle details
Further information
Evidence uploads

To prevent a delay in processing your claim please upload your evidence below. Please ensure your uploads do not exceed 10mb in total. You can upload gif, jpg, or png image files and for your quotes please upload word, excel or pdf files.

If photographs are not available please provide a screenshot of the defect, location and surrounding area using Google Streetview. A Google search on how to do this will provide you with the required process.

Declaration

The information provided is true to the best of my knowledge.

The information supplied to us may be held on a computer database and passed to
our insurers.

This authority is required by law to protect the public funds it administers and to
this end may use the information you have provided for the prevention and
detection of fraud.

It may share the information with other bodies responsible for auditing or administering public funds for these purposes.

The Cabinet Office requires us to participate in data matching exercises to assist
in the prevention and detection of fraud.

We are required to provide particular sets of data to the Minister for the Cabinet Office for matching for each exercise, which includes Insurance Claim data. The use of the data by the Cabinet Office is carried out with statutory authority under Part 6 of the Local Audit and Accountability Act 2014. It does not require the consent of the individuals concerned under the Data Protection Act 1998.

For more details please see our National Fraud Initiative page for more information.

View our full privacy policy

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