In order for your claim to be considered, please provide documentation as evidence of the damage, loss, or injury suffered.
This authority is under a duty to protect the public funds it administers, and to this end we have a responsibility to ensure that all claims received are legitimate.
For further information, visit our National Fraud Initiative page.
All information provided on this form and obtained during the investigation of your claim may be used by Oxfordshire County Council and other outside organisations, including, but not limited to, the Claims & Underwriting Exchange (CUE) and the Motor Insurers Anti-Fraud and Theft Register run by the Motor Insurers’ Bureau (MIB) to detect dishonest claimants and take appropriate action against anyone attempting to defraud the Council. In addition, it can be necessary to share all the information you provide on our forms and in any correspondence with other bodies pertinent to your claim (such as our legal representatives, insurers or contractors) who may be involved with the defence of your claim.
I declare that the information I have given on this form, and any associated documentation, is true and complete. I am aware that I may be liable to prosecution if I have provided the Council with information that I know to be false.
The record could not be saved due to validation errors.
Please review and correct the following before saving: