Complete all blocks of the attached Standard Form (SF) 95. Submit all required documentation as specified in the instructions. Mail the completed form and documentation to Office of General Counsel, Attn: OGC Torts Team, Building CG-3, 15th floor, U.S. Marshals Service, Washington, D.C. 20530-0001. Alternatively, you may scan and e-mail your claim form and all documentation to: USMSTORTClaims@usdoj.gov.

Under the Federal Tort Claims Act, the government has six months to adjudicate a claim upon receiving a completed form.

The purpose of this form is to provide claimants with a standardized process for submitting administrative tort claims involving the United States Marshals Service. It ensures that all required information and documentation are submitted correctly, facilitating the adjudication process. Properly completing and submitting this form helps claimants receive timely resolutions for their claims.

• 1. SF-95 Form: The main claim form to be completed for damage, injury, or death.
• 2. Physician Reports: Detailed medical reports outlining the nature and extent of any injury.
• 3. Itemized Receipts: Proof of medical and hospital expenses, as well as cost estimates for property damage.
• 4. Employer Statements: Statements from employers detailing lost wages and employment status.
• 5. Proof of Ownership: Documentation proving ownership of the damaged property.

Failing to submit this form can result in the denial of your claim.

• Delayed Claim Processing: Incomplete or missing forms can delay the processing of your claim.
• Claim Denial: If you do not submit the required documentation, your claim may be denied.

• 1. Motor Vehicle Accident: Submit a claim for damages resulting from a motor vehicle accident involving a USMS vehicle.
• 2. Prisoner Claims: File a claim for loss of personal property or injury while in custody.
• 3. Property Damage: Submit a claim for personal or real property loss or damage involving the USMS.