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. An officer or agent of the corporation, not the individual signing the SF 95, must complete and sign the Authority to File Claim form.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. 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. Fill out the claim form completely. Provide as much detail as possible. The Federal Tort Claims Act prescribes a uniform procedure for handling of claims against the United States, for money damages only. Block 1, First-Class Mail.