Complete a notice of claim form. Click here to obtain a notice of claim form or call (801) 535-7788 to request a claim form to be mailed or emailed to you.Pursuant to Chapter 4.92 RCW, this form is for filing a tort claim against the state of Washington. Some of the information requested. Before filing a Tort Claim, please read these instructions the Tort Claim form and other appropriate forms in their entirety. The FTCA Deemed Health Center Search Tool searches a listing of recipients of Health Center Program grant funding that have been deemed as PHS employees. Multi-Agency State Office Building. 195 North 1950 West Salt Lake City, Utah 84116. The complex of locks sits in the middle of Salmon Bay and are part of Seattle's Lake Washington Ship Canal. They are known locally as the Ballard Locks.