Third-Party Claim Form
(Fillable Adobe Acrobat PDF)
(Fillable Adobe Acrobat PDF)
Requires MS Word. Enter your RC information where indicated, then print/save as Adobe Acrobat PDF and send with the Third-Party Claim Form and MCL 691.1404 Statute below.
(Can now be used for all road commission claims. Send electronically to MCRCSIP Claims Department)
to be distributed with the above Sewage Disposal System Event instructions and notice form.