Submit the completed Standard Form 95 along with the required documentation to the Office of the Staff Judge Advocate, ATTN: Claims, 7218 Goddard Drive, Malmstrom AFB, Montana 59402-6860. For assistance, contact the office via telephone at 406-731-3471. Ensure all required fields are completed, and provide any additional information or documentation needed to support your claim.

The Statute of Limitations for claims against the United States requires that claims be received no later than 2 years from the date of the incident. For 2024 and 2025, ensure your claims are submitted accordingly.

The purpose of this form is to enable individuals, corporations, and insurance companies to file claims against the United States for damages, injuries, or deaths caused by government negligence. It provides a structured format to present detailed information about the incident, supporting evidence, and the amount of compensation sought. Properly completing and submitting this form is crucial to ensure that claims are processed efficiently and justly.

• 1. Name and Address: Enter the full legal name and current mailing address of the claimant.
• 2. Date of Birth: Provide the birth date of the individual filing the claim.
• 3. Type of Employment: Indicate whether the claimant is military or civilian.
• 4. Date and Time of Incident: Enter the specific date and time when the incident occurred.
• 5. Basis of Claim: Describe in detail the facts and circumstances of the incident that led to the claim.
• 6. Property Damage: Provide information about the property damaged and its owner.
• 7. Personal Injury/Wrongful Death: State the nature and extent of injuries or the cause of death, if applicable.
• 8. Witnesses: List the names and addresses of any witnesses to the incident.
• 9. Amount of Claim: Specify the monetary amount claimed for property damage, personal injury, and/or wrongful death.
• 10. Signature: The claimant must sign and date the form.

Failure to submit this form on time may result in the forfeiture of your right to claim compensation.

• Missed Deadline: Claims must be submitted within two years from the date of the incident.
• Incomplete Documentation: Ensure all required fields and supporting documents are included.
• Lack of Proof: Adequate evidence must be provided to support your claim.

• 1. Damage to Property: File a claim for physical damage to personal or business property.
• 2. Personal Injury: Submit a claim for injuries sustained due to government actions.
• 3. Wrongful Death: Use this form to claim compensation for a wrongful death incident.
• 4. Insurance Subrogation: Insurance companies can use this form to file subrogation claims.
• 5. Business Claims: Businesses can file claims for property or operational damages.