Claim for Damages

Have you sustained damages to your vehicle, property or yourself as a result of city property or a city employee?  

You may submit a claim to the city by completing the Claim for Damages form. Please note that the Claim for Damages form is only for claims where the city is a party. If you need to file a police report, please contact the Lynnwood Police Department at 425-670-5600.

Online

Step 1.Confirm you are eligible:

Did the incident occur within Lynnwood City limits? Check out the Do I Live In Lynnwood Map.

Step 2.Complete the Claim for Damages form:

Click here to view form.

Step 3.Your request will be reviewed

Your claim will be reviewed by the appropriate department and forwarded to our carrier, Washington Cities Insurance Authority.

 

In Person

Due to the COVID-19 health emergency, the City of Lynnwood is not currently accepting claim for damages forms in person. If you would like to mail in a claim form, or if you need a copy of the claim form in another language, please email cityclerk@lynnwoodwa.gov
 

 

Step 1.Confirm you are eligible:

Did the incident occur within Lynnwood City limits? Check the Do I Live In Lynnwood Map.

Step 2.Mail the Claim for Damages form to: 

Lynnwood City Hall
19100 44th Ave W
Lynnwood WA

To download a PDF copy of the claim for damages form, click here(PDF, 118KB)

To download a PDF copy of the claim for damages form in Spanish, click here(DOCX, 17KB)

To download a PDF copy of the claim for damages form in Korean, click here(DOCX, 43KB)

To download a PDF copy of the claim for damages form in Arabic, click here(DOCX, 64KB)

To download a PDF copy of the claim for damages form in Vietnamese, click here(DOCX, 41KB)

To download a PDF copy of the claim for damages form in Russian, click here(DOCX, 38KB)

Step 3.Your request will be reviewed

Once your claim is received it will be reviewed by the appropriate department and forwarded to our insurance carrier, Washington Cities Insurance Authority.

اون لاين - عربي

Step 1.تأكد من أنك مؤهل:

 هل وقع الحادث داخل حدود مدينة لينوود؟ تحقق من خريطة هل أعيش في لينوود.

Step 2.أكمل نموذج المطالبة بالتعويض:


Step 3.سيتم مراجعة طلبك

سيتم مراجعة مطالبتك من قبل القسم المناسب وإحالتها إلى الناقل لدينا، هيئة التأمين على مدن واشنطن.


온라인 - 한국어

Step 1.자격이 있는지 확인:

 사건은 린우드 시티 제한 내에서 발생했습니까? 린우드 지도에 살고 있습니까?

Step 2.손해 배상 청구 양식을 완료하십시오.

 

Step 3.요청이 검토됩니다.

 귀하의 청구는 해당 부서에서 검토되고 당사 항공사인 워싱턴 도시 보험 당국에 전달됩니다.


Онлайн - Русский

Step 1.Подтвердите, что вы имеете право на участие:

 Произошел ли инцидент в пределах Линвуд-Сити? Ознакомьтесь с картой «Живу ли я в Линвуде».

Step 2.Заполните форму Претензии о возмещении ущерба:

 

Step 3.Ваш запрос будет рассмотрен

 Ваша претензия будет рассмотрена соответствующим отделом и направлена нашему перевозчику, Управлению по страхованию городов Вашингтона.


Online - Español

Step 1.Confirme que usted es elegible:

¿El incidente ocurrió dentro de los límites de Lynnwood City? Echa un vistazo a la Do I Live In Lynnwood Mapa.


Step 2.Complete el formulario de Reclamo por Daños y Perjuicios:

Step 3.Su solicitud será revisada

Su reclamo será revisado por el departamento correspondiente y enviado a nuestro transportista, Washington Cities Insurance Authority.

Trực tuyến - Tiếng Việt

Step 1.Xác nhận bạn đủ điều kiện:

 Vụ việc có xảy ra trong giới hạn thành phố Lynnwood không? Xem bản đồ Do I Live In Lynnwood.

Step 2.Hoàn thành mẫu Yêu cầu bồi thường thiệt hại:


Step 3.Yêu cầu của bạn sẽ được xem xét

Yêu cầu bồi thường của bạn sẽ được xem xét bởi bộ phận thích hợp và chuyển tiếp đến hãng vận chuyển của chúng tôi, Cơ quan Bảo hiểm Thành phố Washington.

NOTICE: No damage can be paid by the City of Lynnwood unless a claim complying with Washington State Law is presented to the City of Lynnwood’s City Clerk. All submitted documents are subject to the Washington State public disclosure statues. The submitted Claim for Damages must be signed either by the claimant, pursuant to a written power of attorney, by the attorney-in-fact for the claimant, by a court-approved guardian or guardian ad litem on behalf of the claimant.