The Washington State Tort Claim form is for use only if you believe that you were harmed by the state of Washington, its officers, employees, or volunteers. DO NOT USE THIS FORM if you were harmed by another entity (for example, the United States Government, another country, another state, a county, city, or private citizen). You must file your claim against the other entity or entities.
The claim form must be signed by one of the following:
When you sign the Washington State Tort Claim form, you are declaring under penalty of perjury under the laws of the state of Washington that information contained in your tort claim is true and correct. When the claim is submitted electronically, an electronic signature must be used. An electronic signature is defined as an original signature that is placed on the claim form and executed or adopted by the claimant with the intent to sign the form. (Final Bill Report SB 5136)
Yes. The following browsers are currently supported:
The current online tort claim form has not been tested on mobile devices.
Yes, you can upload any available document or evidence supporting your claim, such as medical records or bills for physical injuries, reports from law enforcement, photographs, proof of ownership for property damage, receipts for property value, and property damage estimates. If your claim involves a physical injury, sign and upload an Authorization for Release of Protected Health Information and a MMSEA Reporting Compliance Declaration. You may upload up to 10 files. Files must not be larger than 10 MB. Large files take longer to upload.
If you are unable to upload your documents for any reason (too many documents, big document, long document name, document name with special characters, unverified source, etc.), you can submit your claim without them, then send us an email with these documents attached and the confirmation number of your submitted claim in the subject line. We will upload the documents to your claim based on the confirmation number.
You might get this message for several reasons. The most common reason is compatibility (device, browser, uploaded files, potential corrupted files, etc.) Please remove all uploaded documents and submit your claim again. If the message still occurs, please visit our website for other options to submit your claim.
The date format is mm/dd/yyyy (i.e. 12/31/1999).
Yes, the Washington State Tort Claim form can be submitted by email, fax, mail, or in person. Please visit our website for more information.
ORM acknowledges receipt of the Washington State Tort Claim by letter or email to the Claimant within approximately 10 days. For claim follow-up or acknowledgement questions, call (360) 407-9199.