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This form is for filing a tort claim against the Lake Washington School District No. 414 as required by Chapter 4.96 RCW.
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How to fill out standard tort claim form

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How to fill out STANDARD TORT CLAIM FORM

01
Obtain a copy of the STANDARD TORT CLAIM FORM.
02
Fill in your personal information, including name, address, and contact number.
03
Provide details about the incident: date, time, and location.
04
Describe the nature of the claim, including any injuries or damages incurred.
05
Include any relevant evidence or documentation to support your claim.
06
Review the form for accuracy and completeness.
07
Sign and date the form.
08
Submit the form to the appropriate authority or agency within the specified timeframe.

Who needs STANDARD TORT CLAIM FORM?

01
Individuals who have suffered damages or injuries due to negligence or wrongful acts.
02
Claimants seeking compensation for losses related to tortious conduct by another party.
03
Persons involved in accidents or incidents that require legal claims against public agencies or organizations.
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The Four Elements of a Tort The accused had a duty, in most personal injury cases, to act in a way that did not cause you to become injured. The accused committed a breach of that duty. An injury occurred to you. The breach of duty was the proximate cause of your injury.
Standard Form 95 is used to present claims against the United States under the Federal Tort Claims Act (FTCA) for property damage, personal injury, or death allegedly caused by a federal employee's negligence or wrongful act or omission occurring within the scope of the employee's federal employment.
What must a claim contain? Your name and address; The address to which you want notices to be sent; The date, place and other circumstances of the occurrence or event which caused your injury; A general description of your injury; The name of the public employee or employees who caused your injury, if known;
STANDARD FORM 95 (SF 95), "Claim for Damage, Injury, or Death": You must submit three (3) completed forms, WITH AN ORIGINAL SIGNATURE, IN INK, ON EACH COPY. (Note: you may complete one form, omitting the signature, photocopy it three times (one for your file), then sign three forms.)
Supporting documentation includes, but is not limited to: witness statements, police reports, and evidence substantiating the dollar amount claimed (e.g., estimates, quotes, invoices, and/or receipts). Failure to submit evidence substantiating the allegations may result in delay or denial of the claim.
What must a claim contain? Your name and address; The address to which you want notices to be sent; The date, place and other circumstances of the occurrence or event which caused your injury; A general description of your injury; The name of the public employee or employees who caused your injury, if known;

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The STANDARD TORT CLAIM FORM is a legal document used to file a claim for damages resulting from a tortious act, such as negligence or wrongful conduct, by a government entity or its employees.
Individuals who have suffered damages or injuries due to the actions or negligence of a government entity or its employees are required to file the STANDARD TORT CLAIM FORM.
To fill out the STANDARD TORT CLAIM FORM, one must provide detailed information about the incident, including the date, location, description of the damage or injury, the parties involved, and any supporting evidence or documentation.
The purpose of the STANDARD TORT CLAIM FORM is to formally notify the government entity of the claim and to provide the necessary information for them to evaluate and respond to the claim for damages.
The information that must be reported on the STANDARD TORT CLAIM FORM includes the claimant's name and contact information, details of the incident, the type of claim, date and location of the event, description of the injury or damage, and any relevant documentation or evidence.
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