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If the incident involves more than one claimant, each claimant should submit a separate claim form. Complete all items - Insert the word NONE where applicable.In order to complete your claim, you must complete all blocks of the attached Standard Form. (SF) 95, Claim For Damage, Injury, or Death. The latest form for Claim for Damage Injury or Death expires 2021-09-30 and can be found here. Submit a completed Standard Form 95 "Claim for Damage, Injury or Death. 912.2 Applicability of Federal Tort Claims Act. 912. 3 Time limit for filing. (1) The easiest way to ensure that you will include all necessary information for your claim is to submit a completed Standard Form 95 ("SF 95"). Tort Claim: A claim against DHS, or its employees for damage to or loss of property or personal injury or death.