Legal Representation Letters. All existing, pending, and threatened litigation, as well as unasserted claims, should be reported by the Department of Justice and all other government agencies using their respective appropriate formats, which can be accessed by selecting the applicable preceding hyperlink.
Standard Form 95. 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 employee's negligence or wrongful act or omission occurring within the scope of the employee's federal employment. These claims must be presented to the Federal agency whose employee conduct gave rise to the injury.
Standard Form 95 is not required to present a claim under the FTCA, but it is a convenient format for supplying the information necessary to bring an FTCA claim. Please note that a completed form must state a claim for money damages in a “sum certain” amount (that is, a specific amount) claimed for personal injury, death, or injury to or loss of property. In addition, if a sum certain is not specified in Standard Form 95 block 12d, or in accompanying information, a submission cannot be considered a valid presentation of a claim. The completed Standard Form 95 must be presented to the appropriate federal agency within two years after the claim accrues.
Judgment Fund Payment Forms. The following online Judgment Fund payment forms can be edited and saved as new PDF documents by using the Adobe 6.0 Advanced Editing TouchUp Text Tool. These online forms replace all prior versions of the forms. The Judgment Fund staff will not accept prior versions of the forms.
FMS 194: Judgment Fund Transmittal
FMS 196: Judgment Fund Award Data Sheet
FMS 197: Judgment Fund Voucher for Payment
