Claims for Damages
The designated agent to receive claims for damages is the City Clerk. Claims may be submitted by email to cityclerk@mercerisland.gov or mailed to:
City Clerk's Office
9611 SE 36th Street
Mercer Island WA, 98040
Phone inquiries may be directed to 206-275-7793.
Below is the link to download the City's Claim for Damages form as well as the WA State Standard Tort Claim Form (as required by RCW 4.96.020(C)). Either form will be accepted by the City for a claim for damages.
Frequently Asked Questions
You can print a claim form or call for a claim form (206-275-7793) to be emailed or mailed to you.*
*City Hall remains closed. Please call 206-275-7793 for more information.
You must file your claim within the state statute of limitations. There are different statutes of limitation for different types of claims. See RCW 4.16.160.
The length of time it takes to investigate to claims will vary from case to case. On average, claims take up to 60 days to resolve.
Yes. You must file a claim if you feel the City of Mercer Island is responsible for your loss, injury, or damages.
It will help your claim to include any supporting records, such as receipts, estimates, and invoices, along with any additional evidence, such as photos, diagrams, etc. Documents filed with your claim become property and are public record.
The considerations in evaluating a claim include:
- The particular facts of the alleged loss,
- The applicable law,
- Whether the City of Mercer Island has legal responsibility,
- The claimant's role in the situation, and
- The nature and extent of damages claimed.
Your claim will be sent to the city’s insurance authority after it is submitted to the city. Mercer Island is a member of the Washington Cities Insurance Authority.
Claims must include:
- The claimant’s name, date of birth and contact info;
- A description of the conduct that brought about the injury or damage;
- A description of the injury or damage;
- A statement of the time and place that the injury or damage occurred;
- A listing of the names of all persons involved and contact information, if known;
- A statement of the amount of damages claim; and
- A statement of the actual residence of the claimant at the time of presenting the claim and at the time the claim arose.
And, the form must be signed either:
- By the claimant, verifying the claim;
- Pursuant to a written power of attorney, by the attorney in fact for the claimant;
- By an attorney admitted to practice in Washington on the claimant’s behalf; or
- By a court-approved guardian or guardian ad litem on behalf of the claimant.
A claim is a request for payment for a loss, injury, or damages that you incurred in an incident/accident.
The claims process follows Washington State Law Revised Code of Washington (RCW) 4.96.020.
An adjuster will generally contact you in writing within 2 to 3 business days after the assignment of your claim. Your assigned adjuster will identify the claim number and will request other documentation needed to investigate your claim.
Claims for damages against the City must be filed in person or by mail to:
City of Mercer Island
ATTN: Andrea Larson, City Clerk
9611 SE 36th Street
Mercer Island, WA 98040
*For up-to-date information on City Hall hours of operation, click here. Please call 206-275-7793 to file in person.
Supporting Documents
Contact Information
Follow this link for the latest facility and program information.
City Clerk's Office
9611 SE 36th Street
Mercer Island, WA 98040
Phone: (206) 275-7793
E-mail: cityclerk@mercerisland.gov