Form 95 Letter - Medical Supply Chain 2025

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Making a Claim Under the FTCA. Individuals who are injured or whose property is damaged by the wrongful or negligent act of a federal employee acting in the scope of his or her official duties may file a claim with the government for reimbursement for that injury or damage.
You may submit your claim and supporting documents one of three ways: Mail your claim and documents to: Associate General Counsel. Office of General Counsel. Email your claim and supporting documents to FTCAClaim@opm.gov. Fax your claim and supporting documents to 202-606-2609.
The Federal Tort Claims Act (FTCA) is federal legislation enacted in 1946 that provides a legal means for compensating individuals who have suffered personal injury, death, or property loss or damage caused by the negligent or wrongful act or omission of an employee of the federal government.
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.)
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.
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Negligence Torts This usually involves car accidents, slip and fall accidents, or medical malpractice. To succeed in a negligence claim, you must prove duty, breach, causation, and damages.

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