Claim for Damages Form

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Before presenting the Port of Everett Claim for Damages Form, please read these instructions and the Claim for Damages Form in its entirety. 

Type or print clearly in ink. The form must be signed and notarized. Provide all requested information and any available documents or evidence supporting your claim, such as medical records or bills for personal injuries, photographs, proof of ownership for property damages, receipts for property value, etc. If the requested information cannot be supplied in the space provided, please use additional blank sheets so your Claim for Damages Form can be easily read and understood.

After completing, the Claim for Damages Form is required to be mailed or delivered to:

Physical Address:
Port of Everett
ATTN: Chief Financial Officer 
1205 Craftsman Way, Suite 200
Everett, WA 98201

Mailing Address:
Port of Everett
ATTN: Chief Financial Officer
PO Box 538 
Everett, WA 98206

Claims cannot be filed electronically. Regular business hours are Monday through Friday, 8:00 a.m. to 5:00 p.m. with the exception of observed holidays. Please contact the Port of Everett Administration Office with any questions at 425.259.3164.

CLAIM FOR DAMAGES FORM

Resolution No. 941

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