Othello, WA · Adams County
Claim For Damages Form
The Claim for Damages Form lets a person submit a claim to the City of Othello for damages arising from an incident.
What this form is
Use this form to describe the incident and the damages claimed against the City of Othello. It asks for the date, time, location, incident details, witnesses, supporting documents, and insurance information; automobile claims also require vehicle, driver, and owner details. The packet includes instructions for completing and submitting the claim.
Who needs it
A person claiming damages against the City of Othello should complete this form and provide supporting information and documents.
How to submit it
Present or mail the completed claim form and supporting documents to the City of Othello, c/o City Clerk's Office, 500 E. Main Street, Othello, WA 99344.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the claim form.
How to submit this form
- 1
Download The Form
Download the Claim for Damages Form packet and read its instructions before completing the form.
- 2
Complete The Claim Form
Type or print clearly in ink, describe the incident, list witnesses, and provide the requested claim and insurance information.
- 3
Gather Supporting Documents
Include available evidence such as damage estimates, receipts, bills, photographs, and other documentation relating to expenses, injuries, or losses.
- 4
Submit To The City
Present or mail the completed form and supporting documents to the City Clerk's Office at 500 E. Main Street, Othello, WA 99344.
Frequently asked questions
- What is the Claim for Damages Form used for?
- It lets a person describe damages claimed against the City of Othello, including the incident, location, witnesses, losses, and supporting documents.
- Who should complete this form?
- A person claiming damages against the City of Othello should complete the form and provide available supporting information and documents.
- Do I need a notary for the Claim for Damages Form?
- No. This document is signed and dated without a notary; the signer just signs and dates the claim form.
- How do I submit the Claim for Damages Form?
- Present or mail the completed form and supporting documents to the City of Othello, c/o City Clerk's Office, 500 E. Main Street, Othello, WA 99344.