Incident Report

Note: The Clerk's Department will forward your incident report to the City's Insurance Adjuster.  The Adjuster will contact you shortly thereafter.

Personal Information on this form is collected pursuant to Municipal Freedom of Information and Protection of Privacy legislation and will be used for the purpose of processing your submission.  Questions about this collection should be directed to:  Freedom of Information Coordinator, Office of the City Clerk, 3540 Schmon Parkway, Thorold, Ontario L2V 4A7 or 905-227-6613.

First and Last
Street, City and Postal Code
Full Name and Contact Information
Photos, Estimates etc.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.