The Fort Knox Claims Division processes several types of claims for and against the government for incidents occurring in Ohio, Michigan, Indiana, and parts of Kentucky involving beneficiaries affiliated with the Army. Our office hours of operation are:


Walk-In Service: Monday – Friday, 0800 – 1600
Closed on All Holidays and Weekends

 

We DO NOT process any Permanent Change of Station (PCS) claims or Personal Property Claims for property lost or damaged during shipment or storage of household goods.

For a description of the different types of claims that our office does process and to access the documents necessary to submit a claim with our office please select a category from the drop-down menu below.

The Federal Medical Care Recovery Act (FMCRA) authorizes military treatment facilities (MTFs) to recover the cost of furnishing health care to DoD beneficiaries, including active-duty members, who are injured or suffer an illness caused by a third party. Affirmative claims are claims filed by the United States Army against the persons who injure service members, dependents, and retirees. Affirmative claims are filed in order to recover lost federal wages and the cost of medical care provided. Affirmative claims are not filed against the injured person. 

All inquiries regarding Medical Affirmative Claims for incidents occurring in Ohio, Michigan, Indiana, and parts of Kentucky involving beneficiaries affiliated with the Army should be sent to the Fort Knox Affirmative Claims Office.  If you are requesting a medical billing amount, please complete the forms below and return them to the Fort Knox Affirmative Claims Office at:

Department of the Army
Office of the Staff Judge Advocate
ATTN: Claims Division
BLDG 1310, 50 Third Ave., St. 208
Fort Knox, KY 40121-5230

Phone: (502) 624-2934
Fax: (502) 624- 8178
Email: usarmy.knox.usacc.mbx.sja-claims@army.mil

 

►Affirmative Claims Branch Fact Sheet

►Attorney Representation Agreement

►Statement of Incident Questionnaire

►HIPPA Release

 

Claims for property damage and/or personal injury or wrongful death caused by the negligence of a government employee acting within the scope of employment are payable under the Federal Tort Claims Act (FTCA) or the Military Claims Act (MCA). A claim must be presented to the Army or other appropriate federal agency within 2 years of accrual. The proper format for filing a claim is a completed Standard Form 95 (SF-95). A copy is available below and can also be found at www.gsa.gov at ''Forms Library. By federal law, the claims office has six months from the date the claim is properly presented to take action on the claim.
In order for us to adjudicate your claim fairly and quickly, please complete the SF-95 according to the instructions on the final page of the form.

All inquiries regarding Tort Claims for incidents occurring in Ohio, Michigan, Indiana, and parts of Kentucky involving beneficiaries affiliated with the Army should be sent to the Fort Knox Tort Claims Office.  In order for us to adjudicate your claim fairly and quickly, please complete the SF-95 packet below according to the instructions and return them to the Fort Knox Tort Claims Office at:

Department of the Army
Office of the Staff Judge Advocate
ATTN: Claims Division
BLDG 1310, 50 Third Ave., St. 208
Fort Knox, KY 40121-5230

Phone: (502) 624-2934
Fax: (502) 624- 8178
Email: usarmy.knox.usacc.mbx.sja-claims@army.mil

 

►COL Hamel Article on TORT Claims

►Standard Form 95 Instructions

►Standard Form 95

►Standard Form 95 EXAMPLE

►CEFT Input Form

►Authority to File Claims Form

►Authorization to Seek Deductible