Skip To Main Content

Risk Management

Tort Claim Form

Instructions for completing a standard tort claim.


  1.   Complete the Standard Tort Claim Form by downloading the form below. The form is also maintained at the Risk Management Office of the Ferndale School District No. 502.

    Agent to receive claim: Dr. Kristi Dominguez, Superintendent
    Office Location: 6041 Vista Drive, Ferndale, WA  98248
    Mailing Address: PO Box 698
    Business Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.

    Closed on weekends and official school holidays
  2.   The Tort Claim form must be typed or printed clearly in ink.
  3.   Provide all requested information and any available documents supporting your claim.
  4.   If the requested information cannot be supplied in the space provided, please use additional blank sheets to read and understand your claim easily.
  5.  Sign by an authorized party.
  6.  Present properly completed and signed Tort Claim Form in one of the following manners:
    •    Personal delivery to the registered agent or authorized person in the office of the registered 
    agent during above business hours
    •    Deliver by registered mail to the registered agent
    •    Delivery by certified mail (with return receipt) to the registered agent


Download Tort Claim Form