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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 allegedly caused by a federal employees negligence or wrongful act or omission occurring within the scope of the employees federal employment.
Under the California Tort Claims Act, any person seeking to recover monetary damages for personal injuries, wrongful death and/or personal property, must file a government claim with each public entity defendant within six months of the accrual of the cause of action. (Gov. Code, 911.2.)
he or she was injured, or his or her property was damaged by a federal government employee; the employee was acting within the scope of his or her official duties; the employee was acting negligently or wrongfully; and. the negligent or wrongful act proximately caused the injury or damage of which he or she complains.
To file a claim, complete these steps: Complete Standard Form 95. Explain in detail what happened, using additional pages if necessary. Make sure you specify the total amount of money you seek in block 12d and sign the form in block 13a.
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. (Note: you may complete one form, omitting the signature, photocopy it three times (one for your file), then sign three forms.)
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A tort claim against the United States, based on a negligent or wrongful act or omission of an employee of the Department of Veterans Affairs acting within the scope of his or her employment, may be filed by the injured person or his or her legal representative using Standard Form 95, Claim for Damage, Injury, or Death
The Federal Tort Claims Act is the federal legislation that allows parties claiming to have been injured by negligent actions of employees of the United States to file claims against the federal government.

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