BWSC Standard Claim Form

Filing a claim with Boston Water and Sewer Commission

File your claim online.

Complete it, and email to [email protected].

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.

To file a claim offline, please download a printable form and deliver:

BWSC Standard Claim Form (pdf)

You may also mail or deliver the original claim form to:

Legal Department

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.

Lead Sampling Notice