Edit, Download, and Sign the Department of the Air Force Damage Claim Form Instructions

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To begin filling out this form, start by reading the entire document carefully. Make sure to complete each section thoroughly and accurately. Follow the guidelines for each field and provide the necessary documentation.

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How to fill out the Department of the Air Force Damage Claim Form Instructions?

  1. 1

    Read the entire form and instructions carefully.

  2. 2

    Complete each section with accurate information.

  3. 3

    Provide necessary documentation as specified.

  4. 4

    Obtain signatures where required.

  5. 5

    Submit the completed form to the appropriate agency.

Who needs the Department of the Air Force Damage Claim Form Instructions?

  1. 1

    Individuals filing a claim for damage caused by the United States.

  2. 2

    Corporations and businesses filing a claim for property damage.

  3. 3

    Individuals claiming personal injury caused by the United States.

  4. 4

    Insurance companies filing subrogation claims.

  5. 5

    Legal representatives filing claims on behalf of others.

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What are the instructions for submitting this form?

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.

What are the important dates for this form in 2024 and 2025?

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.

importantDates

What is the purpose of this form?

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.

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Tell me about this form and its components and fields line-by-line.

This form includes various fields to capture essential details about the claim and claimant.
fields
  • 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.

What happens if I fail to submit this 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.

How do I know when to use this form?

Use this form when you need to file a claim against the United States for damage, injury, or death caused by government negligence.
fields
  • 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.

Frequently Asked Questions

How do I fill out this claim form?

Carefully read the instructions, complete each section accurately, and provide the necessary documentation.

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How do I share the completed PDF?

Use PrintFriendly's share feature to send the document via email or generate a shareable link.

What documentation do I need to submit with this form?

Provide documentation of loss, damage, or injury as specified in the instructions.

Can insurance companies use this form?

Yes, insurance companies can file subrogation claims using this form.

What if I need help filling out the form?

Contact the office listed in the instructions for assistance.

What is the deadline for submitting this form?

Claims must be received within two years from the date of the incident.

Where do I send the completed form?

Submit the form to the appropriate federal agency as specified in the instructions.

Can I use PrintFriendly to download the completed form?

Yes, after editing, you can download the completed form using PrintFriendly.

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