Claim for Damages

Instructions for Completing a Claim Form

Claim forms need to be submitted to the Pierce Transit Risk Management Department.

Claim forms can be submitted via the following:

  1. Online submission form below; or
  2. PDF Claim form can be completed and submitted to the Risk Management department either in person or by mail. Please carefully read all of the information before completing and presenting your claim for damages.

You can present the claim form in person or via mail (regular mail, registered mail or certified mail, with return receipt requested), to:

Mailing Address
Pierce Transit
Attn: Designated Agent
3701 96th St SW
Lakewood, WA 98499		 Pierce Transit
Business Hours
Monday – Friday 8 a.m. to 5 p.m.
Closed Weekends and Holidays
Street Address: 3701 96th St SW
Lakewood, WA 98499

Legal Requirements for Presenting a Claim for Damages Form

In order to verify the claim and additional supporting information, the law requires that the Claim for Damages form be signed by one of the following:

  1. The Claimant; or
  2. A person who had been given authority by the Claimant under a written power of attorney; or
  3. An attorney, admitted to practice in Washington State on the Claimant’s behalf; or
  4. A court-approved guardian ad litem on behalf of the Claimant.

Please complete the electronic Claim form below or download the Claim for Damages form.

If you have additional questions while completing the Claim Form contact the Risk Management Office at 253.581.8000. Please make copies for your personal records before submitting your Claim for Damages form. Submitted forms will not be returned.

If your claim arose as a result of an automobile accident, please provide the following:

Claims damages of and from Pierce Transit arising out of the following circumstances:

State law requires that the claimant signs and verify the Claim for Damages and that it be presented to and filed with Pierce Transit and or its designated agent before the expiration of the applicable statute of limitations. If the claimant is incapacitated from verifying, presenting, and filing the claim in the time prescribed, or if the claimant is a minor, or is a non-resident of the state absent there from during the time within which the claim is required to be filed, the claim may be verified, presented, and filed on behalf of the claimant by any relative, attorney, or agent representing the claimant. Any information requested on this claim form will be handled as part of the claims process and not as a public records request. In the event you wish to make a public records request, a form is available at Pierce Transit headquarters’ front desk at 3701 96th St SW, Lakewood, WA 98499; it may also be downloaded from our website at Piercetransit.org.

I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
I acknowledge I have read and understand the instructions for completing and submitting the Pierce Transit Claim for Damages form.

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