Risk Management Division
The City of Lake Stevens is a member of the Washington Cities Insurance Authority (WCIA), which is a liability-property pool with over 125 members. The City’s Risk Management Division processes citizens’ tort claims against the City and provides loss control and risk management support services to other City departments.
Before filing a tort claim against the City, please read the instructions, and the Claim for Damages form in its entirety. Claim for Damages forms are available at Lake Stevens City Hall, 1812 Main Street, 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 presented in person or mailed to the address below.
Claim for Damages Forms & Instructions
- Instructions on how to complete the Lake Stevens Claim for Damages Form
- Lake Stevens Claim for Damages Form
Lake Stevens City Hall
Attn: Teri Smith
Agent for Service of Claims
P.O. Box 257
Lake Stevens, WA 98258
Physical Address if delivering in person:
1812 Main Street, Lake Stevens, WA 98258
Claim Agent's Business Hours:
Monday - Friday, 9:00 a.m. - 4:00 p.m.
Contact Teri Smith, Agent for Service of Claims at 425-622-9419
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 City, you must submit the completed form and supporting documents to the address above.