Laserfiche WebLink
Filed for Record 02/16/2016 10:12:22 AM - Kittitas County, WA Auditor - 201602160002 Page 2 of 4 <br />J <br />Describe in detail the defect which caused the injury: <br />AA <br />Th detail exactly how the incident occurred: <br />List the names of all persons involved and contact information, if known. <br />10. Was claim investigated by a police officer? <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle:--x-)AMake 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 />2of3 <br />Kittitas County Claim for Damages Form <br />Revised 912012 <br />