Submit the completed Washington State Tort Claim form to the following fax number: 360-507-9251. The Claim for Damages and Authorization for Release of Medical Information Forms may be completed online below or you may download and print the forms.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. Please attach documents which support the allegations of the claim. 20. The Federal Tort Claims Act prescribes a uniform procedure for handling of claims against the United States, for money damages only. The North Carolina Tort Claims Act requires that every affidavit submitted must show ALL of the following: 1. The name of the claimant. 2. Before filing a Tort Claim, please read these instructions the Tort Claim form and other appropriate forms in their entirety. You must sign and date this official claim form. Section 1.1 of the tort reform legislation amended the North Carolina Evidence Code to create Rule 414.
