Get Wa Des Sf 210 2011

This guide provides a clear and supportive approach to filling out the WA DES Sf 210 form, designed for filing a tort claim against Grant County, Washington. Follow the instructions carefully to ensure that all necessary information is correctly submitted.

Follow the steps to efficiently complete the WA DES Sf 210 form online.

1. Click ‘Get Form’ button to acquire the form and open it in the editor.
2. Begin by entering the claimant's name in the designated fields. Include last name, first name, and middle name. Make sure to also provide the date of birth in the required format (mm/dd/yyyy).
3. Provide your current residential address in the specified section. If your mailing address differs from your residential address, fill in that information as well.
4. For the six months preceding the incident, indicate your previous residential address if it differs from your current address.
5. Enter your daytime telephone number for both home and business contacts.
6. Include your email address to facilitate communication.
7. Record the date and time of the incident. Ensure to check whether it was in the a.m. or p.m.
8. If the incident occurred over a period of time, provide the date of the first occurrence and the last occurrence, along with their respective times.
9. Describe the location where the incident took place, including state, county, city, and any specific landmarks.
10. If applicable, detail the street or highway where the incident occurred, including milepost numbers and intersecting streets.
11. Indicate the Grant County agency or department that is alleged to be responsible for the incident.
12. List the names, addresses, and phone numbers of all individuals involved in or who witnessed the incident.
13. Provide the names and contact details of any Grant County employees who may have knowledge regarding the incident.
14. Identify any additional individuals with knowledge of the liability issues or damages involved. Include a brief description of their insight.
15. Thoroughly describe the cause of injury or damages, detailing any property loss or medical, physical, or mental injuries.
16. Note if the incident has been reported to law enforcement or security personnel, along with the details of the report.
17. List the names and contacts of all medical providers who treated the injuries and attach relevant medical reports.
18. Attach all documents needed to support your claims.
19. Finally, specify the total damages you are claiming from Grant County and ensure the form is signed by the claimant or appropriate representative.

Complete the WA DES Sf 210 form online to ensure your claim is filed correctly and promptly.