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Get Standard Tort Claim Form Packet - Washington State Department Of ... - Des Wa
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How to fill out the Standard Tort Claim Form Packet - Washington State Department Of ... - Des Wa online
Filling out the Standard Tort Claim Form is essential for submitting claims related to damages against the state of Washington. This guide provides clear, user-friendly instructions to help you complete the form accurately, ensuring a smoother claims process.
Follow the steps to complete the Standard Tort Claim Form online.
- Click ‘Get Form’ button to obtain the form and open it in an editor.
- Begin by carefully reading all instructions included in the Standard Tort Claim Packet. Ensure you understand the requirements and the components needed to complete the form.
- Enter your personal details as the claimant, including your full name, date of birth, current residential address, and contact information. Ensure all entries are typed or printed clearly in ink.
- If applicable, provide your inmate DOC number in the designated field. Then, state your mailing address if it differs from your current residential address.
- Indicate the date and time of the incident. If the incident occurred over a period, include both the start and end dates.
- Describe the location of the incident in detail, including the street and any relevant landmarks. Be as specific as possible.
- List all involved parties, including witnesses and state employees, along with their contact information and any relevant details regarding their involvement.
- Thoroughly describe the incident that caused injury or damages. Answer who, what, where, when, and why, ensuring you provide enough detail for clarity.
- If applicable, provide information regarding any law enforcement reports related to the incident, including copies if available.
- Complete and attach relevant medical provider information and evidence supporting your claim, including medical records, bills, and any additional documentation.
- Finally, sign the form and provide the date of your signature. If someone is signing on your behalf, ensure they indicate their authority to do so.
- Once all fields have been completed, save your changes, download the form, print it, or share it as necessary for submission.
Complete your Standard Tort Claim Form online today to ensure your claim is processed efficiently.
Individuals who have been harmed or who have suffered a loss as a result of negligent actions by a state employee or agency can submit a tort claim to DES' Office of Risk Management. ORM is required by law (RCW Chapter 4.92) to receive these claims.
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