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This form is for filing a tort claim against the city of Aberdeen. Information requested on this form is required by RCW 4.96.020 and may be subject to public disclosure. Claims cannot be submitted electronically (via email or fax).
City of Aberdeen
200 E Market Street
Aberdeen, WA 98520
The Claimant must sign this form unless he or she Is Incapacitated, a minor, or a nonresident of the state, In
which case it may be signed on behalf of the Claimant by any relative, attorney, or agent representing Claimant. I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
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