N.Y. Comp. Codes R. & Regs. tit. 19 § 425.4

Current through Register Vol. 46, No. 45, November 2, 2024

Section 425.4 - Submission of claim

In making a claim, a municipality shall submit such information as is required in Appendix 6 of this Title (i.e., the basic field incident report, FRS-902F [1/76]), which is made a part hereof, and the following additional information:

(a) evidence that the person submitting the claim is authorized to do so on behalf of an eligible municipality (such as a certified copy of a resolution of the governing body);

(b) name and address of the State agency or public benefit corporation having jurisdiction over the property on which the fire occurred;

(c) an itemized list of firefighting costs;

(d) if there is a claim for damaged or destroyed equipment, the following information shall be submitted:

(1) three independent estimates of the cost of repairs, except where repairs are available from only one source, in which case one estimate shall be submitted;

(2) a statement of the depreciated value of such equipment immediately preceding the fire and immediately subsequent to the damage or destruction, including the method used to calculate depreciation;

(e) any insurance reimbursement claimed, received or expected to be received;

(f) a copy of any mutual aid agreement(s), or any fire protection agreement between the claimant and the State of New York or any public benefit corporation;

(g) such other information or documentation as the Secretary of State considers relevant to those considerations to be made in determining the amount authorized for payment; and

(h) a signed and sworn statement by the authorized official that the information and documentation provided in support of the claim are true and accurate to the best of his knowledge and belief.

N.Y. Comp. Codes R. & Regs. Tit. 19 § 425.4