What information do I need to include on my form?

 Claims must include:

  • The claimant’s name, date of birth and contact info;
  • A description of the conduct that brought about the injury or damage;
  • A description of the injury or damage;
  • A statement of the time and place that the injury or damage occurred;
  • A listing of the names of all persons involved and contact information, if known;
  • A statement of the amount of damages claim; and
  • A statement of the actual residence of the claimant at the time of presenting the claim and at the time the claim arose.

And, the form must be signed either:

  • By the claimant, verifying the claim;
  • Pursuant to a written power of attorney, by the attorney in fact for the claimant;
  • By an attorney admitted to practice in Washington on the claimant’s behalf; or
  • By a court-approved guardian or guardian ad litem on behalf of the claimant.