Washington Borough, MT · Warren County
Claim for Damages Form
This form lets a claimant notify the Borough of Washington about a claim for bodily injury, property damage, or other losses.
What this form is
Claimants use this Notice of Claim to report an accident or occurrence and request damages from the Borough of Washington. The instructions say claims against public entities must be filed within 90 days of the occurrence. The form asks for claimant and accident details, claimed losses, insurance information, and supporting documents such as bills, estimates, reports, and wage verification.
Who needs it
A person seeking damages from the Borough of Washington for bodily injury, property damage, or other losses can complete this form.
How to submit it
The instructions suggest sending the documentation via certified mail to have proof of receipt, but provide no mailing address. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the claimant certifies the statements are true and submits the listed supporting documents.
How to submit this form
- 1
Download the Form
Download the Borough of Washington Claim for Damages Form.
- 2
Complete the Claim
Fill in claimant, accident, damage, loss, and insurance details, then sign and date the certification.
- 3
Gather Supporting Documents
Include applicable bills, appraisals, estimates, reports, and wage verification or an income calculation.
- 4
Submit to the Borough
The instructions suggest certified mail; check the city website for current submission contact details.
Frequently asked questions
- What is the Claim for Damages Form used for?
- It lets a claimant report an accident or occurrence and request damages from the Borough of Washington for bodily injury, property damage, or other losses.
- Do I need a notary for the Claim for Damages Form?
- No. The form is signed and dated without a notary; the claimant certifies the statements are true and submits the listed supporting documents.
- How do I submit the Claim for Damages Form?
- The instructions suggest sending the documentation via certified mail to have proof of receipt. The form does not provide a mailing address, so check the city website for current contact details.
- What documents should I include with my claim?
- The form lists itemized bills, property damage appraisals and estimates, written reports from expert witnesses and treating physicians, and employer wage verification or a self-employment income calculation, as applicable.
Need something notarized?
This Claim for Damages Form doesn’t need a notary — but if you have another Washington Borough form that does, a commissioned online notary can help.