Medical Malpractice Claim & Settlement Reporting
Reporting worksheets
These worksheets are a temporary way for you to document your claim until we have a secure way for you to send your information to us. Do not send your worksheet to us. Keep it in a safe place. A secure reporting site will be available sometime in mid-2008.
| For Attorneys or claimants, use: | |
| Medical Malpractice Claim Data Collection Worksheet | PDF version (151Kb) |
| Word version (463Kb) | |
| For Insurers, self-insurers and providers, use: | |
| Medical Malpractice Closed Claim Data Collection Worksheet | PDF version (199Kb) |
| Word version (138Kb) | |
For more information
See WAC 284-24D-040 - How are closed claims reported to the commissioner?
Questions? Email: medmalreports@oic.wa.gov.