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U.S. Department of Homeland Security
Claims Management Branch
601 S 12th Street, TSA9
Arlington, VA 205986009Dear Traveler:The Transportation Security Administration (TSA) is responsible for the screening
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To fill out the SF 95 Cover Package Revised, follow these steps:
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Begin by providing your personal information, including your name, address, phone number, and email address.
03
Identify the agency or department involved in your claim and provide information about the incident or event that caused the damage or injury.
04
Describe in detail what happened, including the date, time, and location of the incident.
05
Specify the type of damage or injuries sustained and provide supporting documentation, such as medical records, repair estimates, or photographs.
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Indicate the specific monetary amount you are seeking as compensation and provide a breakdown of the damages claimed.
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Provide any additional information or supporting documents that may be relevant to your claim.
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Review the completed form for accuracy and completeness before submitting it.
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Sign and date the SF 95 Cover Package Revised and send it to the appropriate agency or department.
Who needs sf 95 coverpackage revised?
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The SF 95 Cover Package Revised is needed by individuals who have suffered damage, loss, or injury as a result of the actions of a federal government agency or employee. This form is used to initiate a claim for compensation against the federal government.
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