4160 86th AVE SE • Mercer Island WA 98040-4121 • FAX 206-230-6303
Tyrell Bergstrom	Executive Director of Finance	206-236-3295
Liz Dodd	Director, Finance	206-236-3316
Erin Anderson	Coordinator, Payroll & Benefits	206-236-3314
Mary Anne Courchene	Administrative Assistant, Accounts Payable	206-236-3309
Jacquie Garcia-Fauver	Coordinator, Budgets	206-236-3308
Karen Hubbert	Administrative Assistant, Purchasing & Business	206-236-3310

 

 

When submitting an Accident Report and/or a Damages Claim, please be aware that Please be aware that information submitted may be subject to public disclosure pursuant to applicable law(s).

 

Student Accident/Injury Reporting

 

• Student Accident Report Form 

 

Non-Employee Adult & Non-Student Accident Report

For Accidents/Incidents involve adult non-employees/non-students and district property, please contact Karen Hubbert at 206-236-3310. 

• Accident Report: Non-Employee/Non-Student Claimant 

 

Employee Accidents/Injuries

For incidents involving District employees, contact Erin Anderson, 206-236-3314.  

• Puget Sound Workers' Compensation Trust Website (to report an incident at work and file a claim if necessary)

 

Damages Claim

If a party believes the District is responsible for any damages or loss, the impacted party must complete and submit a Washington Standard Tort Form available under Policy 6500P. 

Completed Standard Tort Forms C should be submitted to the District's Business Services office is located at:

4160 86th Ave. SE, Mercer Island, WA 98040 

Claims may be submitted during regular business hours between 8:00 a.m. and 4:30 p.m., Monday through Friday, excluding legal holidays and other posted closures. Any questions may be directed to Karen Hubbert at 206-236-3310.

Please be aware that damages will not be paid by or on behalf of the District unless a claim complying with Washington State Law is presented to the District’s Business Services Office.

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