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 OGC will provide a potential claimant with a claim form and inform him as to the required documentation.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. To file a claim against the City for bodily injury, auto, and property damage, you must complete the General Claim Form. Are there other ways to submit the Washington State Tort Claim? 100 requires citizens to present the Standard Tort Claim form with the Office of Risk. 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. Circumstances in which a plaintiff may pursue a tort lawsuit against the United States.