Standard Form 95 is used to present claims against the United States under the Federal Tort Claims Act (FTCA) for property damage, personal injury, or death. In order to complete your claim, you must complete all blocks of the attached Standard Form.(SF) 95, Claim For Damage, Injury, or Death. A claim predicated on a negligent or wrongful act of EPA or its employees may be filed using Standard Form 95. STANDARD FORM (SF) 95: You must submit at least one (1) completed claim form with an original signature, in ink, on each copy. Fill out the claim form completely. Provide as much detail as possible. Ask them to fill out and sign a declaration. The ADA expressly contemplates the type of injunctive relief that Plaintiff seeks in this action. Vice or counsel Policyholders on whether or not to file a claim.