Submit the completed Washington State Tort Claim form to the following fax number: 360-507-9251. The Claim for Damages and Authorization for Release of Medical Information Forms may be completed online below or you may download and print the forms.Are there other ways to submit the Washington State Tort Claim? 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 prescribes a uniform procedure for handling of claims against the United States, for money damages only. In order to complete your claim, you must complete all blocks of the attached Standard Form. (SF) 95, Claim For Damage, Injury, or Death. Instructions for completing the Standard Washington State Tort Claim Form. One of the broadest waivers of sovereign immunity in the country. The Washington State Bar Association's home on the Internet.