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. Whenever you submit notice to a Federal Agency, you must include Standard Form 95.In other words, fill out an inmate request to staff member ("copout" form) and then follow the official grievance procedure beginning with a BP-9. In order to complete your claim, you must complete all blocks of the attached Standard Form. (SF) 95, Claim For Damage, Injury, or Death. 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. A Standard Form 95 is frequently used to present claims against the U.S. under the FTCA. STANDARD FORM 95 (SF 95), "Claim for Damage, Injury, or Death": You must submit three. (3) completed forms, WITH AN ORIGINAL SIGNATURE, IN INK, ON EACH COPY.