Standard Form 95 - Claim for Damage, Injury or Death - (description)
The above forms are in an Adobe Acrobat (PDF) file which requires the Adobe Acrobat Reader software. The Adobe Acrobat Reader is free. Click here to download the reader.
Judgment Fund Payment Forms
FMS 194
FMS 196
FMS 197
The online Judgment Fund payment forms (FMS 194, FMS 196, and FMS 197) can be edited and saved as new documents by using the Adobe 6.0 Advanced Editing TouchUp Text Tool. The online forms replace all prior versions of the forms. Prior versions will not be accepted by the Judgment Fund Staff after October 1, 2004.