Risk Management | Clark County

MISSION

Provide guidance and services with integrity, collaboration and innovation to preserve and protect County resources and assets.

Clark County is self-insured for both liability and worker's compensation. Risk Management administers the county's insurance program and has a Third Party Administrator, Gallagher Bassett, for both liability and workers' compensation claims administration.

After reviewing the reference material below, if you still have a question, please call us at 564-397-2025 so we may assist you.

Clark County Tort Claim Form

Insurance and Loss Control Resources
General Insurance Definitions
Paint on Your Vehicle from Road Striping

Tort Claim Forms for Other Jurisdictions

City of Vancouver - Tort Claim

State of Washington - Tort Claim

Links

Worker's Compensation (Law)

Worker's Compensation (Administrative Rules)

File a Tort Claim

Submit a claim for damages

To file a claim for damages against Clark County, submit a claim for damages to the Clark County Office of Risk Management using one of the two ways described below.

Give specific details about your damage or loss. Include dates, times, witnesses, and any supporting documents.

Records you submit are subject to public disclosure laws. Do not send medical records with your claim form. Our investigator will request your medical records if needed.

Choose one of these three ways to file your claim:

1. Download a claim form (fillable PDF) and file via email.

Save your completed form before you email it. This method does not require the form to be printed or scanned but still requires some form of signature. Digital signatures are accepted.

Email your complete, saved claim form to Risk.Management@clark.wa.gov.

2. Download a claim form (lined PDF for handwritten completion) for printing and file by mail or in person.

Be sure to sign your completed claim form.

Mail or deliver your completed claim form to:

Clark County Risk Management

Attn: Risk Manager

PO Box 5000

1300 Franklin St., Suite 560

Vancouver, WA 98666-5000

3. Submit a claim form via fax

Submit you completed form via fax to the following attention and fax number:

ATTN RISK MGMT
564-397-2457

Upon submission of your complete claim packet, we will provide this to our third party claims administration company, Gallagher Bassett who will conduct an investigation into your claim.