CONTACT US. Mailing Address 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.080 requires citizens to present the Standard Tort Claim form with the County Auditor or to the Deputy Auditor. Three methods to submit a claim. Use the eFiling Portal or visit orm.dc. Before filing a Tort Claim, please read these instructions the Tort Claim form and other appropriate forms in their entirety. This is a fillable PDF document. The FTCA Deemed Health Center Search Tool searches a listing of recipients of Health Center Program grant funding that have been deemed as PHS employees. There are no statutorily required forms for submitting a tort claim in writing. A state not listed in the drop down selection means there are no current openings in that state.