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 who wish to file an administrative tort claim against CBP should complete a Standard Form 95, Claim for Damage, Injury, or Death and submit it.File Claim Against City Form. File Claim Against City Form (PDF). STANDARD FORM 95 (SF 95), "Claim for Damage, Injury, or Death": You must submit three. (3) completed forms, WITH AN ORIGINAL SIGNATURE, IN INK, ON EACH COPY. In order to complete your claim, you must complete all blocks of the attached Standard Form. (SF) 95, Claim For Damage, Injury, or Death. Any individual seeking to file a claim for money or damages against the judicial branch must first file a written government claim. This letter is part of the TSA claims package that includes: (1) SF-95 Instructions, (2) SF-95 Claim Form, and (3) SF-95 Supplemental.