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Reichow, AshleyRevised March 2023 NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota Minnesota State Statute 466.05 states that “…every person…who claims damages from any municipality…shall cause to be presented to the governing body of the municipality within 180 days after the alleged loss or injury is discovered a notice stating the time, place, and circumstances thereof, and the amount of compensation or other relief demanded.” Please complete this form in its entirety by clearly typing or printing your answers to each question. If you have additional documentation, you may add those documents to your submission. You will not be contacted by telephone unless clarification is needed. The claim process for investigations can take upwards of four (4) weeks. This form must be signed, dated with all applicable sections completed. Submission this completed form to the Saint Paul City Clerk’s Office by email (cityclerk@ci.stpaul.mn.us), fax (651-266-8574) or mail addressed to “Saint Paul City Clerk, 15 West Kellogg Blvd., Suite 310, Saint Paul, MN 55102”. Claimant: First Name: Ashley Last Name: Reichow Please Indicate Your Pronouns: ☒ She/Her/Hers, ☐ He/Him/His, ☐ They/ Them/Theirs Company or Business Name: ____________________________________________________________________________________ Is this claim being made by an Insurance Company? NO If yes, what is your Claim/File Number? _________________________ Is this claim being made by an Attorney? NO If yes, what is your File Number? _______________________________________ If yes, provide your Insured’s/ Client’s Name: _______________________________________________________________________ Street Address: 7574 38th Street North City: Oakdale State: Minnesota Zip Code: 55128 Daytime/Work Phone: 6514420478 Cell Phone: 6514420478_ Date of Incident or Date Discovered (Must Complete): 3/17/2023 Time: 3:30p Please state, in detail, what happened that prompted you to file a Notice of Claim Form: I parked downtown St. Paul on St. Patrick’s Day, March 17, 2023 at 2:34p. My parking spot was located at a parking meter right outside of Cossetta’s, roughly 211 7th St W in St Paul. There were cars parked at all of the surrounding meters. Being pregnant, I had not consumed any alcoholic beverages. I feel this is important to clarify so you know that I was very much in a clear state of mind. It was a beautiful day and there were people all over the streets enjoying the festivities. Upon coming back out to my car, around 2 hours later, I noticed that my car was no longer in the spot where I had parked and tow trucks were lining the streets. Thankfully, a police was parked in my spot so I was able to ask him what was going on and why my car was towed. He stated that these meters were currently in a no-parking zone. He claimed that there had been paper signs to display the parking restrictions. I told him that when I parked there, there were no “restricted parking” or “tow zone” signs in sight, that there were cars at all the other meters signifying a safe place to park, and that the meter let me pay for my parking also signifying there was no restrictions. There were also no parking meter bags to signify restricted parking / closed meters. It was clear since the entire block was being towed that no one on the street was aware of the tow zone. No signs could be seen. In addition to feeling like I was towed without cause or notice that I was in restricted parking zone, my car was towed within 2 hours of parking. From my understanding, a 4 hour waiting period must be observed before a car is actually removed from the scene. (“In enforcing state and local parking and traffic laws, a towing authority may not tow, or allow or require the towing of, a motor vehicle from public property for a parking or traffic violation until four hours after issuance of the traffic ticket or citation.”) For these reasons, I am asking to be reimbursed for the tow and parking for being wrongfully towed. Please state why or how you feel the City of Saint Paul is responsible for your Damages? I feel the city of St Paul made an error in towing my car because the parking spaces were not appropriately designated as a tow zone. No notice was given of the parking restrictions. Revised March 2023 Please check the reason that most closely describes the reason for your submitting a claim. Please note the documents that will need to be provided with your completed form. Photographs will be accepted. All documents submitted become the property of the City of Saint Paul and shall not be returned. ☐ Automobile damage from a motor vehicle accident: please provide two estimates for repairs or actual bill that has been paid. ☐ Automobile damage from a street defect or pothole: please provide two estimates for repairs or actual bill that has been paid. ☒ Automobile was towed and may or may not have sustained damage: please provide copy of towing ticket (if available), receipt from Impound Lot, and two estimates for repairs or actual bill that has been paid. ☐ Snow Emergency: please provide copy of towing ticket (if available), receipt from Impound Lot, and two estimates for repairs or actual bill that has been paid. ☐ Property damage: please provide two estimates for repairs or actual bill that has been paid. ☐ You were injured during a motor vehicle accident: please provide police report number, details about injury. ☐ You were injured in the City of Saint Paul: please provide police report number, witnesses, and details about injury. Continue to page 2 of Notice of Claim Form. Failure to complete and return both pages will result in delays. This section must be completed for all claims. Is there a police report for this incident? NO If yes, please provide the police report case number: ___________________________ If yes, what law enforcement agency responded? ____________________________________________________________ Where did the incident take place? Please provide a street address, intersection or name of city park or facility: 211 7th Street W, St Paul, MN (parking meter outside of Cossetta’s) What would you like to see happen to resolve this claim to your satisfaction? I would like for my parking ticket to be dropped (I know this does not involve the city of St Paul; I have a court date set on September 12), and to receive a refund for paying the meter ($4.65), and for the price it cost to tow my car ($221.14) totaling $225.79 Were there witnesses to this incident? Please provide names and contact phone numbers: Tony Rossato, 2182607504 For property damage claims, including vehicle accidents. Your vehicle’s information: Year: _________ Make: _________________ Model: __________________ Color: __________________ License Plate #: _________________________ State vehicle is registered in: ___________________________ Registered owner of vehicle: _____________________________ Driver: __________________________________________ Area(s) damaged:______________________________________________________________________________________ If a City vehicle was involved, License Plate #: _________________________________ Color: _______________________________ Was there City insignia on the vehicle? YES / NO Driver’s Name: ______________________________________________________ Other property damaged: _______________________________________________________________________________________ For injury claims of any type. Revised March 2023 What part of your body was injured? _____________________________________________________________________________ Did you go to the emergency room or urgent care? YES / NO Where? ___________________________________________________ Was medical treatment received? YES / NO Where? ________________________________________________________________ First day of medical treatment? _____________ Are you still receiving medical treatment? YES / NO Did you miss any work as result of this incident? YES / NO Employer(s): _________________________________________________________________________________________________ How much time have you missed from work? _____________________________________________________________________ If you are submitting other documents, please state what you are attaching and how many pages: ___8______________________ By signing this form, you agree that all information provided is true and correct to the best of your knowledge. Please NOTE that submitting a false or misleading claim can and will result in prosecution under Minnesota Statutes. Name of Person completing form: ____Ashley Reichow_________________________________________________________ Signature of Person submitting this form: ________________________________________ Relationship of person signing to Party making the claim: SELF Date document is being signed: 7/14/2023