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. STANDARD FORM 95 (SF 95), "Claim for Damage, Injury, or Death": You must submit three.(3) completed forms, WITH AN ORIGINAL SIGNATURE, IN INK, ON EACH COPY. An Overview Of Standard Form 95. The Federal Tort Claims Act prescribes a uniform procedure for handling of claims against the United States, for money damages only. The Federal Tort Claims Act (FTCA) allows citizens to file civil suits against the government for negligence. 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. This letter is part of the TSA claims package that includes: (1) SF-95 Instructions, (2) SF-95 Claim Form, and (3) SF-95 Supplemental. 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. Instructions for completing the form can be found at FTCA Instructions for SF 95(4 pp, 30 K, 100617) .
