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.Claimants have six months from the incident date to present their claim, in accordance with PA C.S.A. Title 42 § 5522. State shall be filled within 180 days after the action occurs. Figure out what happened and who did it. Make notes for yourself before you begin to fill out forms. CONTACT US. Mailing Address Please carefully read all of the information in this packet before completing and presenting your. Washington State Tort Claim. Gov website belongs to an official government organization in the United States.
