Washington Suburban Sanitary Commission - Loss or Injuries Report

To speak to a Claims Representative, call (301) 206-7095. If you are experiencing a water or sewer emergency, please call our 24 hour emergency line - (301) 206-4002.

Check Status of another claim

Incident

My Name

Police/Witnesses

Owner

Incident Information

Date of loss:

Incident Time:

Street Address:

Intersection:

City:

State:

A vehicle was damaged

I own damaged vehicle

I was the driver

Number of Vehicles:

Number of Passengers in Claimant Vehicle:

Incident Description:

General Injury Description:

Hospital/Emergency Room:

RED fields are required