Cle Elum, WA · Kittitas County
Claim for Damages Form
Cle Elum’s Claim for Damages Form lets a claimant provide incident details, describe injuries or property loss, and request damages from the city.
- 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 report an incident and submit a damages claim to Cle Elum. It asks for claimant and incident information, details about injuries or property loss, supporting records, and the amount claimed; automobile claims also require vehicle and driver information. The form states that it must be signed by the claimant or an authorized representative and includes a notarized signature section.
Who needs it
A claimant seeking damages from Cle Elum, or a permitted representative signing on the claimant’s behalf, should complete this form and provide supporting information.
Why it needs a notary
The form carries an acknowledgment block for the claimant’s signature; the claimant, or authorized signer completing the claim, signs before the notary.
How to get this notarized
- 1
Download the Form
Get Cle Elum’s Claim for Damages Form and review the requested claimant, incident, and supporting-document information.
- 2
Fill In the Claim Details
Describe the incident and damages, enter the amount claimed, and attach available supporting records.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the claimant’s signature acknowledgment.
- 4
Sign on Video
Sign the claimant’s signature section during the notary’s remote video session.
- 5
Submit to the City
Follow Cle Elum’s instructions to submit the completed form and supporting documents.
Preview the form
The blank PDF straight from Cle Elum. 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
- Do I need to have my Claim for Damages Form notarized?
- Yes. The form includes a notarized section for the claimant’s signature. Complete the form and sign that section before a notary.
- How do I notarize the claim form online?
- Complete the form, book a session with a commissioned online notary, and sign the claimant’s signature section during the video session. Washington allows its notaries to perform remote online notarizations.
- Who may sign the Claim for Damages Form?
- The form says it may be signed by the claimant, someone holding the claimant’s written power of attorney, an attorney admitted to practice in Washington acting for the claimant, or a court-approved guardian or guardian ad litem.
- What information and documents should I include?
- Provide claimant and incident details, describe the cause and extent of the loss or injury, state the amount claimed, and attach supporting records or other documentation. Automobile claims also request vehicle and driver information.
- How do I submit the completed form?
- The provided form text does not state how to submit it. Contact the City of Cle Elum for submission instructions; confirm with the city if unsure.
Other forms in Cle Elum
Claim for Damages Form in other Washington cities
Each city publishes its own version of this form. Pick the city where you’re filing.