Submit the completed Washington State Tort Claim form to the following fax number: 360-507-9251. Are there other ways to submit the Washington State Tort Claim?Instructions: (1) Complete this form giving specific details about your damage or loss. COMPLETING THE STANDARD FORM 95: The attached instructions are provided to assist you in correctly filling out the Standard Form 95. Submit to Appropriate Federal Agency: 2. Name, address of claimant, and claimant's personal representative if any. First, the conduct giving rise to the claim must have occurred while the employee was working within the scope of federal employment. ✓ Tort Claim form is typed or printed clearly in ink. ✓ Tort Claim form is filled out completely. You must file a claim with the agency (usually the.