Washougal, WA · Clark County
Claim for Damages Form
The Claim for Damages Form lets a person seek compensation from the City of Washougal for an injury or loss and must be completed and filed by the claimant or an authorized representative.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to describe the circumstances of an injury or property loss, state the amount claimed, and provide witness and insurance details. The City of Washougal requires the claimant to sign before a notary and submit the completed form with supporting documents in person or by mail; fax and email submissions are not accepted. After filing, the claim is submitted to the Washington Cities Insurance Authority for investigation.
Who needs it
A claimant seeking damages from the City of Washougal, or a person authorized to act for the claimant, must complete and submit this form with supporting documentation.
Why it needs a notary
The form has an acknowledgment block; the claimant or authorized signer must sign the claim in the presence of a notary, who completes the acknowledgment.
How to get this notarized
- 1
Download the Form
Get the City of Washougal Claim for Damages Form and review the instructions.
- 2
Complete the Claim
Fill in the occurrence, damage, claimant, witness, and insurance details, and gather supporting documents.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the form’s acknowledgment.
- 4
Sign on Video
Appear for the online notarization and sign as directed so the notary can complete the acknowledgment.
- 5
Submit to the City
Send the signed form and supporting documents by mail or deliver them in person to the city; fax and email are not accepted.
Preview the form
The blank PDF straight from Washougal. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I file a claim for damages with Washougal?
- Complete the form, attach supporting records, sign before a notary, and submit it in person or by mail to Washougal City Hall’s Office of Human Resources. The city does not accept fax or email submissions.
- Do I need to sign the claim in front of a notary?
- Yes. The form says the claimant must sign in a notary’s presence and includes an acknowledgment block for the notary to complete.
- Can I use an online notary for this form?
- Washington authorizes its notaries to perform remote online notarizations under RCW 42.45.280, and RCW 42.45.090 addresses the effect of certain out-of-state notarial acts. Use a commissioned online notary and confirm with the city if unsure.
- What supporting documents should I include?
- Include copies of records about expenses, injuries, losses, or repair estimates, such as receipts, estimates, and photos. The form also asks for witness information, if applicable.
Claim for Damages Form in other Washington cities
Each city publishes its own version of this form. Pick the city where you’re filing.