Individuals who have been harmed or who have suffered a loss as a result of negligent actions by a public agency can submit a tort claim.

Pursuant to RCW Chapter 4.96, this form is for filing a tort claim against South Sound 911. Information requested on this form is required by RCW 4.96.020 and may be subject to public disclosure. Do not use this form if you were harmed by another entity (for example, the U.S. government, another country, a private citizen, or by another state, county or city); you must file your claim against the other entity or entities.