Under the FTCA, the federal government acts as a self-insurer, and recognizes liability for the negligent or wrongful acts or omissions of its employees. 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.A lawsuit against the State of New York may only be filed in the Court of Claims. Fill out the claim form completely. Provide as much detail as possible. A claim predicated on a negligent or wrongful act of EPA or its employees may be filed using Standard Form 95. Figure out what happened and who did it. Make notes for yourself before you begin to fill out forms. COMPLETING THE STANDARD FORM 95: The attached instructions are provided to assist you in correctly filling out the Standard Form 95. These regulations are at 28 CFR Part 14.