Which form is the Claim for Damage/Injury, or Death?

• A. SF-95
• B. SF-91
• C. I-847
• D. SF-94

Answer: (D)

When seeking compensation from the U.S. government for damage, injury, or death, the proper form is a Claim for Damage, Injury, or Death. This form is the standard FTCA (Federal Tort Claims Act) claim document that collects the claimant’s information, a detailed description of what happened, and the damages being claimed (medical costs, property damage, lost wages, etc.). It is the official vehicle to initiate a tort claim against the government and is submitted through the agency involved, which then forwards it for adjudication. Other forms in this area may be used for related procedures or specific situations (such as motor vehicle accident claims), but the official form designated for a general damage-injury-death claim is the SF-95.