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Get Standard Tort Claim Form - Gold Bar Washington
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How to fill out the STANDARD TORT CLAIM FORM - Gold Bar Washington online
Filing a tort claim against the City of Gold Bar can seem daunting, but this guide provides clear and concise instructions to help you navigate the STANDARD TORT CLAIM FORM effectively. Whether you are familiar with legal procedures or new to the process, this step-by-step guide will assist you in completing the form accurately.
Follow the steps to complete your tort claim form successfully.
- Click the 'Get Form' button to access the form in your preferred online editing tool.
- Begin by filling in your claimant information. Start with your last name, followed by your first and middle names. Ensure the date of birth is formatted correctly (mm/dd/yyyy).
- Provide your current residential address. If your mailing address differs from this, please include that information in the next section.
- If you have lived at a different address in the six months prior to the incident, please fill in that residential address.
- Enter your daytime telephone number. Indicate if this is a home or business number and ensure all digits are entered accurately.
- Fill in your email address to facilitate communication regarding your claim.
- Record the date and time of the incident. Select whether it occurred in the morning or afternoon, and use the correct date format.
- If the incident took place over a period of time, specify the start and end dates and times, ensuring they are separated clearly.
- Detail the location of the incident, including state, county, and city. Provide specific information about the place where it occurred.
- If the incident occurred on a street or highway, include the name of the street and any relevant intersection data.
- Identify the city agency or department that you believe is responsible for the incident.
- List names, addresses, and telephone numbers of all people involved or witnesses to the incident.
- Provide details of any City of Gold Bar employees who might have knowledge about the incident.
- Include others who have knowledge about liability issues or damages, providing a brief description of each individual's knowledge.
- In this section, articulate the cause of the injury or damages and detail the extent of any losses or injuries. Attach additional sheets if necessary.
- Indicate whether the incident was reported to law enforcement or security personnel, specifying who you reported it to and when.
- Document the names, addresses, and phone numbers of your medical providers while attaching all relevant medical reports and bills.
- Attach any supporting documents that corroborate your claim's allegations.
- Lastly, complete the claim amount you are seeking from the City of Gold Bar and ensure the form is signed by you or an authorized representative. Include the date and place of signing.
- Once you have filled in all required fields accurately, save your changes, and prepare your form for submission—whether you plan to print it for mailing or retain it electronically.
Complete your STANDARD TORT CLAIM FORM online today and take the first step towards resolving your claim.
The Federal Tort Claims Act (FTCA) is federal legislation enacted in 1946 that provides a legal means for compensating individuals who have suffered personal injury, death, or property loss or damage caused by the negligent or wrongful act or omission of an employee of the federal government.
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