Detroit Water & Sewerage DepartmentSewer Back-Up Notice of Claim

Detroit Water & Sewerage Department

Sewer Back-Up Notice of Claim

Service Request Number Information

Did you enter a Service Request through Improve Detroit Website?*

Yes

Service Request Number

Enter the Service Request Number, located in the Notice of Claim Instruction Letter, if known

If you have not already done so, please report your Water In The Basement at:

https://detroitmi.gov/ImproveDetroit or by calling 313-267-8000

Submitter Contact Information

Customer First Name*

Customer Last Name*

Phone*

Phone

Email Address*

Affected Address Number*

Affected Street Name*

Affected City*

Affected State*

Affected Zip Code*

Mailing Address Same as Above*

Select

Mailing Address Number*

Mailing Street Name*

Mailing City*

Mailing State / Other*

Select

Mailing Zip / Postal Code*

Date of Discovery of Property Damages*

Date of Event, if known

Claim Description (brief not itemized)*

NOTE: An individual that has been injured or has suffered property damage as a result of a Sewage Disposal Event must provide written notice of the event within 45 days after the date the damage or injury was, or in exercise of reasonable diligence should have been, discovered. Failure to provide proper notice will bar your claim.

Please review your answers before submitting them.

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