Fill out this form to apply for workers' compensation benefits because of a work injury or work-related illness. Are there other ways to submit the Washington State Tort Claim?080 requires citizens to present the Standard Tort Claim form with the County Auditor or to the Deputy Auditor. 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. 020, requires citizens to present the Standard Tort Claim form with the government entity named in their claim. A notice of claim must be filed in writing. Pursuant to Chapter 4.96 RCW, this form is for filing a tort claim against the Port of Anacortes. Please carefully read all of the information in this packet before completing and presenting your Tort Claim Form. Please carefully read all of the information in this packet before completing and submitting your Standard Tort Claim. How Long Do You Have to File a Workers' Comp Claim in Washington State?