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Risk Management Center Claim Form

  1. Liability - Auto - Property Loss Notice Form
  2. Town of Madison, Connecticut
  3. Risk Manager
    Lauren Rhines 8 Campus Drive Madison, CT 06443 (203) 245-5602
  4. Please explain the incident:
  5. Please describe where the incident took place.
  6. (if applicable)
  7. Leave This Blank:

  8. This field is not part of the form submission.