Use Standard Form 95 (PDF)(2 pp, 539 K) to file claims for loss of employment, loss of income, loss or damage to property, or other claims. STANDARD FORM (SF) 95: You must submit at least one (1) completed claim form with an original signature, in ink, on each copy.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. The claim is not required to provide more than the minimal details of the facts involved in the incident in order to give the government sufficient notice. Below are suggestions for filling out the Form 95. A Standard Form 95 is frequently used to present claims against the U.S. under the FTCA. States, 340 U.S. 135 (1950)). Using a SF 95 form will help ensure that you've included all of the necessary information. The agency has six months to respond. THE COMPLAINT (Attachment A). Instructions for Completing the Complaint Form: a.