IWC eForms
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INCIDENT QUESTIONNAIRE 

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INCIDENT QUESTIONNAIRE
Complete this form to notify the Council of personal injury or damage to property.
Important Information for Pothole Claimants
Although you have hit a pothole on a road owned by the Isle of Wight Council, it does not mean you are entitled to compensation.

Potholes can break out very quickly and it is simply not possible for the Isle of Wight Council to check every road on the Isle of Wight every day.

The law recognises this and therefore the legal requirement for local councils is to check each road for defects monthly, quarterly or annually depending on the type of road and its usage.

Therefore if we have inspected the road within the timescale, and the pothole was not present on the date of inspection then we have complied with the law.

If a pothole has broken out since this inspection, it does not mean the Isle of Wight Council is negligent.

Please bear this in mind when making a claim.
Notes
Please read the following information before completing this form.
Data Protection Statement
The details provided by you will be held on a database and used for the purposes of investigating your claim and may be shared with or passed on to other Council departments or outside agencies who may be involved in a potential claim, as well as the Council’s Insurers or legal representatives so that a formal response to your comments can be made. The Isle of Wight Council is the data controller for the purposes of the Data Protection Act 1998. Please note the information collected may be accessed by virtue of the Freedom of Information Act 2000 or by yourself under the Data Protection Act 1998.

Anti Fraud Statement
The Authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes.

For further information, see web-link to the Level 2 notice on the Isle of Wight Council’s website. The web address is www.iwight.com/nfi.

Insurance fraud is a criminal offence. Persons who make fraudulent or exaggerated claims are liable to prosecution.

Liability
The provision of this form does not constitute an admission of liability on behalf of the Isle of Wight Council.

What happens to my claim?
Upon receipt, the Council’s Insurance Section will work together with the appropriate department, complete an investigation and pass all relevant documentation to the Council’s Insurers who will then correspond with you or your legal representative. There is no automatic right to compensation and claims are paid on a strict liability basis. A claim for compensation can be made in person or through a legal representative.  

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