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. The Federal Tort Claims Act (FTCA) allows citizens to file civil suits against the government for negligence.Click on the link below to view and fill out FTCA Standard Form 95. Once completed, please print or save the completed form for future use. The Standard Form 95 requires you to complete the amount of the claim for which you are submitting as well as additional information. Instructions for completing the form can be found at FTCA Instructions for SF 95(4 pp, 30 K, 100617) . In other words, fill out an inmate request to staff member ("copout" form) and then follow the official grievance procedure beginning with a BP-9. Claimants who wish to file an administrative tort claim against CBP should complete a Standard Form 95, Claim for Damage, Injury, or Death and submit it. What Information is Required? The claim must be for a sum certain and should be filed out on the standard preprinted Form 95 entitled "Claim For Damage, Injury, Or Death.