To file a claim please download the form, complete it, and email it to firstname.lastname@example.org.
If you email this form, please do not include any personally identifying information such as social security numbers, health care policy numbers or other similar information.
You may also mail or deliver the original claim form to:
Boston Water and Sewer Commission
980 Harrison Avenue
Boston, MA 02119
You may also fax this form to: (617) 989-7736
Submission of this form does not constitute notice to the Executive Director of the Boston Water and Sewer Commission for purposes of M.G.L. Chapter 258, the Massachusetts Tort Claims Act. The information requested on this form may be subject to public disclosure.