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. The Federal Tort Claims Act prescribes a uniform procedure for handling of claims against the United States, for money damages only. 100 requires individuals to present the Standard Tort Claim form with the Office of Risk. The North Carolina Tort Claims Act requires that every affidavit submitted must show ALL of the following: 1. The name of the claimant. 2. In 1946, the federal government passed the Federal Tort Claims Act, which waived sovereign immunity for itself with respect to torts. In order to complete your claim, you must complete all blocks of the attached Standard Form. (SF) 95, Claim For Damage, Injury, or Death.
