Electric City, WA · Grant County
Tort Claim Form
Claimants use this form to submit a tort claim for damages against Electric City and provide information about the incident and claimed losses.
What this form is
The Tort Claim Form is used to submit a claim for damages against the governmental entity named on the form. It asks for claimant and attorney contact information, incident details, injuries or property damage, witnesses, and the amount claimed. Claimants should attach documents supporting the allegations and sign the declaration under penalty of perjury.
Who needs it
A person submitting a tort claim for damages against Electric City should complete this form and attach documents supporting the claim.
How to submit it
Submit the original claim directly to the governmental entity by mail or delivery; contact the entity for the appropriate physical location or email address.
About notarization
This form is signed without a notary; it includes a declaration under penalty of perjury, but no notarized attachment or related step is specified.
How to submit this form
- 1
Download The Form
Download the Tort Claim Form PDF.
- 2
Complete The Form
Provide claimant and incident information, describe any injuries or property damage, and state the amount claimed.
- 3
Gather Supporting Documents
Attach documents supporting the claim’s allegations and any additional pages needed to describe what happened.
- 4
Sign And Submit
Sign and date the declaration, then submit the original claim directly to the governmental entity by mail or delivery.
Frequently asked questions
- Do I need a notary for the Tort Claim Form?
- No. The form is signed without a notary and includes a declaration under penalty of perjury; no notarized attachment or related step is specified.
- How do I submit the Tort Claim Form?
- Submit the original claim directly to the governmental entity by mail or delivery. Contact the entity for the appropriate physical location or email address.
- What information does the Tort Claim Form ask for?
- It asks for claimant and attorney information, incident details, injuries or property damage, witnesses, and the amount claimed.
- What should I attach to the form?
- Attach documents that support the claim’s allegations. The form also allows additional pages to describe what happened.