N.J. Admin. Code § 11:3-26.1

Current through Register Vol. 56, No. 11, June 3, 2024

Section 11:3-26.1 - Claim information

(a) Notice of intention to make a claim under 39:6-65 shall contain the following information:

1. The claimant's name, address, date of birth and social security number;

2. The time, date, location, municipality and county in which the loss occurred;

3. The identity of the operators and vehicles involved in the accident, including the name and address of the owner and operator and the license plate number of the vehicle;

4. Such witnesses to said accident as are then known;

5. A short description of the accident, including the claimant's role or position therein;

6. A description of the injuries then known, and attached thereto a medical certificate if then available. In any event the medical certificate shall be filed as soon as available;

7. A description of the damage sustained to property, and attached thereto an estimate of the cost of repairs if then available; and

8. The policy number of any insurance applicable to the accident, including the name and address of all insurance companies involved.

N.J. Admin. Code § 11:3-26.1

Amended by R.1991 d.45, effective 2/4/1991.
See: 22 New Jersey Register 1678(a), 23 New Jersey Register 306(b).
In (a)1-5: added text to contents of claim information notice. Added new (a)8.
Amended by R.1996 d.58, effective 2/5/1996.
See: 27 New Jersey Register 3682(a), 28 New Jersey Register 855(a).