Submit the completed Washington State Tort Claim form to the following fax number: 360-507-9251. Are there other ways to submit the Washington State Tort Claim?Before filing a Tort Claim, please read these instructions the Tort Claim form and other appropriate forms in their entirety. Return the signed original:​​ Please provide a copy of all attachments supporting your claim (estimates, bills, receipts, police report, etc.) Then, the qualified free clinic must submit an application to the Department of Health and Human. • Print and fax the form to the numbers above.