Form 5020 Bridgeport Connecticut 2025

Form 5020 Bridgeport Connecticut: What You Should Know

Name, address and telephone number and copies of all receipts, contracts, receipts of money paid (including the amounts paid). Include the following information: 1. Name, address, fax, and telephone number of the person or group responsible for the violation; 2. Name, address, phone number, and fax number of the person or group on whose behalf you are filing your claim; 3. Name, address, telephone number, and fax number of the person or group on whose behalf you intend to make your claim, if different from the person responsible for the violation; 4. Type of violation; 5. Information which must be substantiated by evidence including (a) date of violation and date and duration of the time period for which payment is requested; (b) amount and type of payment requested by you; and (c) the name of the person on whose behalf you are making your request and proof of identification or proof of relationship with the person you intend to request payment from; 6. Documentation of all payments made by you (for example, signed checks, receipt for amount, copy of credit card statement, etc.); 7. Copy of all receipts, contracts, or other paper documents and letters sent to you and which attest to the existence of the funds or payments; 8. Copy of all receipts, contracts, or other paper documents and letters sent to you and which attest to the existence of the funds or payments; 9. Copy of all documents evidencing use of property by the City; 10. Copies of any court filings, e.g. search warrant; and 11. Copy of all documents evidencing your right to obtain the release of any funds for any specific purpose. Do not include a copy of your letters which attest to the existence of the funds or payments. Do not send copies to the following mail receivers, but rather to the Office of the City Attorney's Office or in a sealed envelope to: City of Bridgeport, Attn: Legal Department, 1401 Greenwich Ave, 8th Floor, Bridgeport, CT, 06604. This letter constitutes your notification that you do not accept the terms and conditions on which the City of Bridgeport is offering to satisfy your claim. Please consider the consequences of sending this letter to the City. If you fail to respond within 30 days, we may not be able to file your claim in court.

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