Bremerton, WA · Kitsap County
Standard Tort Claim Form
The Standard Tort Claim Form lets a person file a general liability claim against the City of Bremerton for alleged injury or damage.
What this form is
Use this form to file a tort claim against the City of Bremerton. It asks for claimant and incident details, witness and medical provider information, a description of the injury or damage, supporting documents, and the claimed amount. The claimant or an authorized representative must sign the form and declare that the information is true and correct under penalty of perjury.
Who needs it
A person seeking damages from the City of Bremerton, or an authorized representative, uses this form to submit a tort claim.
How to submit it
Mail the original to the City Clerk at City of Bremerton, 345 6th Street, Suite 100, Bremerton, WA 98337, or deliver it to City Hall, 345 6th Street, Suite 600, Bremerton, WA 98337. The form says claims cannot be submitted by email or fax.
About notarization
This document is signed without a notary; the signer signs and dates a declaration under penalty of perjury, and supporting documents may be attached.
How to submit this form
- 1
Download The Form
Download the Standard Tort Claim Form PDF.
- 2
Complete The Form
Type or print clearly in ink, provide the requested claimant and incident information, and sign and date the form.
- 3
Gather Supporting Documents
Attach available documents or evidence that support the claim, such as medical records, bills, photographs, or proof of property ownership.
- 4
Submit To The City
Mail the original to the City Clerk or deliver it to the City Clerk at the listed City Hall address. 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 Bremerton. The form requests information about the claimant, incident, alleged injury or damage, supporting documents, and claimed damages.
- Who can sign the Bremerton tort claim form?
- The form lists the claimant or an authorized representative, including a person holding written power of attorney, an attorney-in-fact, an attorney admitted to practice in Washington State, or a court-approved guardian or guardian ad litem.
- Do I need a notary for the Standard Tort Claim Form?
- No. This document is signed without a notary. The signer dates a declaration under penalty of perjury; supporting documents may be attached.
- How do I submit the Standard Tort Claim Form?
- Mail the original to the City Clerk at the listed City Hall address or deliver it to the City Clerk at the other listed City Hall address. The form says not to submit claims by email or fax.
Need something notarized?
This Standard Tort Claim Form doesn’t need a notary — but if you have another Bremerton form that does, a commissioned online notary can help.