General Public Reporting Form

Please complete the form below if you need to submit damage to the Town. The Town will conduct an investigation to determine the cause of the damage and provide direction based on the findings.

Contact Information

The information contained herein is intended as an informal guide to assist users with the collection & reporting process. If you have sustained damage to your property contact your insurance company to obtain information regarding coverage. This publication is not intended to substitute for legal advice. Persons with questions of a legal nature should consult with a lawyer. The Town of High River accepts no liability arising from the information provided in this publication.

Full Name:
Address:

(If applicable)

Please Check:

Incident Information

(Be specific with the intersection, direction, traffic lane, or reference point and enclose a diagram if needed)

(Include any supporting documentation such as photos, estimates, or receipts and how it was calculated below)

Has this been reported to the Town of High River? 

(Be specific with dates/times, names, phone numbers called, and any file reference numbers that were provided)

Did this incident involve a Town of High River vehicle?

(If applicable)

Please Note: This statement is for information purposes only and its receipt in no way infers acceptance of any responsibility by this Municipality for the stated damages. A fully completed and signed form is to be sent or delivered to the Town address below upon which you will receive a confirmation acknowledging your claim receipt within one (1) weeks’ time. Be aware that there are notice periods for providing the Town with notice of certain types of claims and limitation periods in respect of all claims. If you do not commence legal action to advance your claim within two (2) years of the date of the incident causing your loss or damage, the Town of High River and its employees will be entitled to immunity from liability in respect of your claim pursuant to the provisions of the Limitations Act of Alberta.
The personal information on this form is collected by the Town of High River pursuant to legislation governing personal information handling practices, specifically Sections 4(a) and (c) of the Protection of Privacy Act, Section 197(2) of the Municipal Government Act (Alberta) (MGA), and other legislation or bylaws governing the municipality, as may be applicable. By submitting this form, you acknowledge that in accordance with Section 20(2)(a) of the Access to Information Act, your name, address and other details related to your request will be used to process your request. Should you have any questions related to the collection or disclosure of your personal information, please contact the Town’s Privacy Officer at ATIPP@highriver.ca or 403-652-2110.

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309B Macleod Trail S.W., High River, Alberta

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Monday to Friday 8:30am - 4:30pm (Closed on statutory holidays)

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legislativeservices@highriver.ca

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403-652-2110

Media Requests: communications@highriver.ca
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