Laserfiche WebLink
Filed for Record 10/13/2017 02:21:20 PM - Kittitas County, WA Auditor - 201710130040 Page 2 of 8 <br />7. Describe in detail the defect which caused the injury: <br />8. Describe in narrative form and in detail exactly how the incident occurred: <br />9. List the names of all persons involved and contact information, if known. <br />10. Was claim investigated by a police officer? �S <br />Sheriff L, State Patrol City Police <br />11. Description of claimant's vehicle: A)tS Make Year <br />Model: License No. <br />12. Describe what you did/after the accident occurred: <br />13. Describe the conversations you had, if any, with County personnel during or after the <br />incident occurred: <br />2of3 <br />Kittitas County Claim for Damages Form <br />Revised 9/2012 <br />