SF 95. Claim for Damage, Injury or Death

The SF 95 Claim for Damage, Injury, or Death is a form used to file a claim for damages, injuries, or death that was caused by the negligence or wrongful act of a federal employee or agency, or by the property of the federal government.

The form consists of several parts, including the Claimant's Information, the Incident Information, and the Description of Damage, Injury, or Death. The Claimant's Information requires information about the claimant, including their name, contact information, and relationship to the incident. The Incident Information requires information about the incident, including the date, time, and location, as well as the federal agency or employee involved. The Description of Damage, Injury, or Death requires a detailed description of the damages, injuries, or death that resulted from the incident.

The most important fields on the form include the claimant's name and contact information, the date, time, and location of the incident, and a detailed description of the damages, injuries, or death.

This form is compiled when an individual or entity has suffered damages, injuries, or death as a result of the negligence or wrongful act of a federal employee or agency, or by the property of the federal government. The parties involved in the document are the claimant and the federal agency responsible for the incident.

When compiling this form, it is important to provide a detailed and accurate description of the damages, injuries, or death that resulted from the incident. Any missing or incorrect information can delay the processing of the claim.

The advantages of this form include the ability to file a claim for damages, injuries, or death that resulted from the negligence or wrongful act of a federal employee or agency, or by the property of the federal government. The form provides a clear and organized way to submit the claim.

Some problems that can arise when filling out this form include missing or incorrect information, which can delay the processing of the claim. Additionally, the process of filing a claim can be complex and time-consuming.

Related forms include the SF 114C Claim for Damage, Injury, or Death (Non-Department of Defense), and the SF 95A Claim for Damage, Injury, or Death (Department of Defense). An alternative form is the DD Form 1842 Claim for Loss or Damage to Personal Property.

This form is submitted to the federal agency responsible for the incident. The instructions on the form provide information on where to submit the form. The form is usually stored electronically in the agency's database.