Request for Compensation Form

Request for Compensation Form(PDF, 740KB)

This form should be completed and forwarded to:

Melton City Council,
FAO: Public Liability Claims Department
PO Box 21, Melton Vic 3337

or via email:

For any queries on the completion of this form: Please contact Echelon Claims Services on Ph (03) 9860 3443 or via email: