Tort Claims Unit Norfolk. In order to complete your claim, you must complete all blocks of the attached Standard Form.(SF) 95, Claim For Damage, Injury, or Death. 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. TheSF-95 must be completed and state a claim for monetary damages in a sum certain amount claimed for injury to or loss of property, personal injury, or death. Proper format for filing a claim is a completed Standard Form 95 (SF-95). A blank SF-95 is attached. This claim must be submitted within two years after the injury. The proper format for filing a claim is a completed Standard Form 95 (SF95). In a case involving injury to a minor, one or both parents or legal guardian should sign the Form.