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COMMISSIONERS THOMAS J. FARMER LINDA R. GOT BRUCE E. JORGENSON MANAGER ANNETTE CREEKPAUMSTANDARD TORT CLAIM FORM PLEASE TYPE OR PRINT IN General Liability Claim Form Pursuant to Chapter 4.92 RCW,
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How to fill out standard tort claim form

01
To fill out a standard tort claim form, follow these steps:
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Begin by providing your personal information, including your name, address, and contact details.
03
Identify the government agency or entity you are filing the claim against. Provide its name, address, and any other relevant details.
04
Clearly state the date and location of the incident that led to your claim.
05
Describe the incident in detail, including what happened, how it occurred, and any damages or injuries sustained.
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Provide supporting documentation such as photographs, medical records, repair estimates, or any other evidence that can validate your claim.
07
Indicate the amount of compensation you are seeking and provide a detailed explanation of how you calculated that amount.
08
If applicable, include any witness statements or police reports related to the incident.
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Sign and date the form to certify that the information provided is accurate and true.
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Make sure to review your completed form thoroughly before submitting it.

Who needs standard tort claim form?

01
The standard tort claim form is needed by individuals who have suffered harm or injury due to the actions or negligence of a government agency or entity. This could include situations such as accidents on government property, medical malpractice by government-employed healthcare professionals, or property damage caused by government employees. If you believe that a government entity is responsible for your damages or injuries, you may need to fill out a standard tort claim form to seek compensation or reimbursement.
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The standard tort claim form is a legal document used to file a claim against a government entity for personal injury or property damage caused by the negligence of the entity or its employees.
Individuals who have suffered injury or damage due to the actions or negligence of a government agency or its employees are required to file a standard tort claim form.
To fill out the standard tort claim form, you must provide your personal information, a detailed description of the incident, the nature and extent of your injuries or damages, and the specific government entity you are filing against.
The purpose of the standard tort claim form is to notify the government entity of the claim and to provide the necessary information for the entity to review and respond to the claim before any formal lawsuit is filed.
The form typically requires information such as your name and contact details, the date and location of the incident, a description of the incident, the type and amount of damages claimed, and any witnesses to the incident.
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