Claims for Damages

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The Lake Stevens Sewer District’s Risk Management Division processes citizens’ tort claims against the District and provides loss control and risk management support services to other District departments.

Before filing a tort claim against the District, please read the instructions, and the Claim for Damages form in its entirety. Claim for Damages forms are available at Lake Stevens District, 1106 Vernon Rd Suite A, Lake Stevens, or can be downloaded below. Note that the length of investigation into a claim will vary greatly depending on the complexity of the issues and the availability of documents and witnesses to substantiate causation and damages.

State law requires an original signature on the Claim form which means forms cannot be submitted electronically (via e-mail or fax). Claim forms can be dropped in the Sewer Payment Drop Box or mailed to the address below.

claim for damages forms & Instructions
Claim for Damages Forms (including the Washington State Standard Tort Claim Form) and supporting documents should be submitted to:

Mailing Address:
Lake Stevens Sewer District
Attn: Risk Management
1106 Vernon Rd Suite A 
Lake Stevens, WA 98258

Questions? 
Call 425-334-8588


Washington State Standard Tort Claim Form #SF 210 (this form is optional and not required if using the Claim for Damages Form above)
Note: If you use this form to submit a tort claim against the District, you must submit the completed form and supporting documents to the address above.