Longview, WA · Cowlitz County
Claim for Damages Form
This form lets a claimant submit a damages claim to the City of Longview and provide details about the incident, injuries, or property loss.
What this form is
Use this form to submit a claim for damages to the City of Longview. It asks for the claimant’s contact information, incident details, information about witnesses and knowledgeable individuals, and a description of the cause and extent of the damages. Claimants provide the amount sought and sign a declaration that the information is true and correct under penalty of perjury; automobile claims require additional vehicle and occupant details.
Who needs it
A person seeking damages from the City of Longview for an incident can use this form to provide claimant, incident, and loss information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
The claimant signs and dates the form under penalty of perjury; notarization is not required, and the form includes an optional notary section.
How to submit this form
- 1
Download The Form
Download the Claim for Damages Form.
- 2
Complete The Claimant And Incident Details
Provide claimant contact information, incident details, descriptions of the damages, and the amount claimed.
- 3
Gather Supporting Documents
Attach additional sheets if needed, medical bills and records if available, and other documentation supporting the claim.
- 4
Sign And Submit
Sign and date the declaration, then submit the form to the city department named on it.
Frequently asked questions
- What information does the Longview Claim for Damages Form ask for?
- It asks for claimant contact details, incident information, witnesses and others with relevant knowledge, descriptions of injury or property loss, supporting documents, and the amount claimed.
- Do I need a notary for the Longview Claim for Damages Form?
- No. The claimant signs and dates the form under penalty of perjury. The form includes an optional notary section, but notarization is not required.
- How do I submit the Longview Claim for Damages Form?
- Submit it to the city department named on the form; check the city website for current contact details.