Claims for Damages Form

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Use this form to file a claim against the City when an incident occurs and an involved party believes the City has been negligent in performing its duties.

In order for a municipality to be liable for any damages or injuries, the City must have knowledge (or should have had knowledge) that a hazardous situation exists. Further, it must know a hazardous situation exists and not do anything to correct the situation in a timely fashion.

Instructions for filing a claim: 

1 Select one of the two following versions and complete the Claim for Damages Form.  

2 Sign the form in the presence of a notary.

3 Mail or bring the completed form into City Hall (location and mailing address on claim form). 

For information, contact the City's Claims Manager, Connie Cobb, 360.753.8451.

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