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Claim for Damages [1]

Date Uploaded: 

Friday, March 20, 2020

Document File: 

wcia_claim_for_damages_form.pdf [2]

 

Claim for Damages – Instructions:  

  1. Fill out form - giving as much detail as possible.
  2. Attach all receipts for repairs (up to the amount of claim).            
  3. Be sure form is notarized.  (Sherri Booth or Traci Howard-1st Floor—or an outside notary).         
  4. Turn in completed form to Patty Murray for processing to WCIA.  
Source URL:https://www.kelso.gov/document/claim-damages

Links
[1] https://www.kelso.gov/document/claim-damages [2] https://www.kelso.gov/sites/default/files/docs/wcia_claim_for_damages_form.pdf