Get Va Form 95

Filling out the VA Form 95 online is a crucial step for individuals seeking compensation for damages, injuries, or wrongful death caused by government negligence. This guide will provide you with clear, step-by-step instructions to help you navigate the process effectively.

Follow the steps to complete the VA Form 95 accurately

1. Use the ‘Get Form’ button to access the VA Form 95 and open it in your browser.
2. In Block 1, enter the name and address of the Office of the Judge Advocate General, Tort Claims Unit Norfolk, including the full address.
3. In Block 2, provide the name and current mailing address of the claimant or their authorized representative. If you are using an authorized agent, ensure to attach evidence of their authority.
4. In Block 3, indicate whether the claimant was a member of the armed forces on active duty or a civilian employee of the United States government at the time of the incident.
5. In Block 4, input the claimant’s date of birth.
6. In Block 5, indicate the claimant's marital status.
7. In Block 6, specify the day and date of the accident or incident when the claim accrued.
8. In Block 7, provide the approximate time of the accident or incident.
9. In Block 8, detail the facts that form the basis of your claim, identifying all parties involved and the city and state where it occurred. Attach any supporting documents like police reports if available.
10. In Block 9, if claiming property damage, provide ownership information, describe the damage and location, and attach proof of ownership along with itemized repair estimates.
11. In Block 10, if claiming personal injury or wrongful death, state the nature and extent of each injury or cause of death. Add complete medical records and any itemized bills related to treatment.
12. In Blocks 11 and 12, enter the names of any witnesses, the amounts of claims for property damage, personal injury, and wrongful death.
13. In Block 13, certify the accuracy of the claim by signing the form and providing the date of the signature.
14. Upon completing the form, save any changes made, and you may choose to download, print, or share the document as needed.

Start the process by completing your VA Form 95 online today.