Grandview, WA · Yakima County
Claim for Damages
This form lets a person submit a claim for damages to the City of Grandview and provide information and evidence about the incident.
What this form is
The Claim for Damages packet includes instructions and a form for reporting an incident and requesting compensation from the City of Grandview. The form asks for claimant and incident details, the claimed amount, information about witnesses and insurance, and a description of injuries or property loss. Include available supporting records or evidence; automobile claims require additional vehicle and passenger details.
Who needs it
A person seeking compensation from the City of Grandview for damages may complete and submit this form.
How to submit it
Submit the signed original and supporting documents in person or by mail to the City Clerk’s Office, City of Grandview, 207 West Second Street, Grandview, WA 98930. The packet says claims cannot be submitted electronically by fax or email.
About notarization
No notary is required; the claimant or authorized signer signs and dates the form, which includes a declaration under penalty of perjury.
How to submit this form
- 1
Download the Packet
Download the Claim for Damages packet and read its instructions before completing the form.
- 2
Complete the Form
Type or print clearly in ink, provide the requested details, and sign and date the form.
- 3
Gather Supporting Documents
Include available evidence and records relevant to your claim; add vehicle and passenger details for an automobile claim.
- 4
Submit the Original
Deliver the signed original and supporting documents in person or by mail to the City Clerk’s Office in Grandview; do not fax or email.
Frequently asked questions
- Do I need a notary for the Claim for Damages form?
- No. The form is signed and dated without a notary; it includes a declaration under penalty of perjury.
- How do I submit the Claim for Damages form?
- Submit the signed original and supporting documents in person or by mail to the City Clerk’s Office at 207 West Second Street, Grandview, WA 98930. The packet says not to submit by fax or email.
- What information does the Claim for Damages form ask for?
- It asks for claimant and incident information, the amount claimed, details about witnesses and insurance, and a description of injuries or property loss.
- What supporting documents should I include?
- The packet recommends providing available evidence such as damage estimates, receipts, bills, photographs, and relevant reports or medical records.