Aberdeen, WA · Grays Harbor County
Standard Tort Claim Form
This form lets a claimant file a tort claim against the City of Aberdeen and provide details about the incident, injuries, damages, and supporting evidence.
What this form is
Use this form to file a tort claim against the City of Aberdeen. It asks for claimant and incident information, witnesses, details about injuries or property loss, and the amount claimed; automobile claimants must also provide vehicle information. The form requests medical records and other supporting documents, and the claimant signs a declaration that the information is true and correct under penalty of perjury.
Who needs it
A person seeking damages from the City of Aberdeen for an incident should complete this form and provide the requested claim details and supporting documents.
How to submit it
Mail or deliver the original claim to the Finance Director, City of Aberdeen, 200 E. Market St., Aberdeen, WA 98520. Claims cannot be submitted by email or fax.
About notarization
This document is signed without a notary; the claimant signs and dates a declaration under penalty of perjury under Washington State law.
How to submit this form
- 1
Download The Form
Download the Standard Tort Claim Form PDF.
- 2
Complete The Form
Type or print in ink and provide the requested claimant, incident, injury or damage, and claim amount information.
- 3
Gather Supporting Documents
Attach medical reports and billings, other documents supporting the claim, and additional sheets if needed.
- 4
Sign And Submit
Sign and date the form, then mail or deliver the original to the Finance Director at the address shown. Do not submit it by email or fax.
Frequently asked questions
- What is the Standard Tort Claim Form for?
- It is used to file a tort claim against the City of Aberdeen and provide information about the claimant, incident, alleged injuries or damages, and amount claimed.
- Do I need a notary for the Standard Tort Claim Form?
- No. The form is signed without a notary, but the claimant must sign and date a declaration under penalty of perjury under Washington State law.
- How do I submit the Standard Tort Claim Form?
- Mail or deliver the original to the Finance Director, City of Aberdeen, 200 E. Market St., Aberdeen, WA 98520. The form says claims cannot be submitted by email or fax.
- What supporting documents does the form request?
- The form asks claimants to attach medical reports and billings, along with any other documents supporting the claim. Additional sheets may be attached where needed.
