Damage to or loss of personal property sustained incident to service of the military member or civilian employee of the Coast Guard.

Cars, stereos, CDs, computers, furniture, books, photographs, pets, sporting equipment, etc.

• Property located at government-owned or leased housing or onboard a military installation that was damaged, lost, or destroyed by hurricane, flood, earthquake, fire, vandalism, theft, or other unusual occurrence (including electrical power outages you did not cause);
• Property damaged or lost while traveling under government orders;
• Property damaged or lost during the performance of duty to alleviate a public disaster to save lives; or
• Property damaged or lost in use that is necessary for the performance of official duties and is used at the express direction or request of a superior authority.

 

• Yes. If the property was covered by insurance, you need to first file with your insurance company. You may then file a damage claim with the Coast Guard for any damage or loss not covered by your insurer.
• You may submit a claim for any deductible amount not waived by your private insurance.

Note: You are responsible for repaying the Coast Guard any amount that you recover from your insurer.

• Military members who are involved in car accidents and receive settlements should contact Coast Guard headquarters (CG-LCL) before settling. The Coast Guard has the right to request reimbursement for any and all medical care provided as a result of a third party’s action. It is in a military member’s best interest to contact CG-LCL before any settlement to ensure all medical costs are included in the settlement amount. You may contact CG-LCL at (202)372-3740

• Claims by military members or civilian employees of the Coast Guard are under Personnel Claims and should be submitted on the CG-4112. Personal Property Claim form, which is available here.
• CG-4112 and CG-4111 (page 2 only, which is an inventory sheet) need to be completed by you, or by your authorized agent or legal representative.
• CG-4112A needs to be completed by the Investigating Officer (i.e., assigned by your Command) and endorsed by your Command.

• The CG-4111 is used to:

Document damage or loss arising from incidents other than the shipment of household goods. For such claims, complete Blocks 23b, 23c, 23e, and 23f. Attach the CG-4111 as supporting document to the completed CG-4112.

FINCEN handles household goods claims. A link to their website can be found here

• My personal property got damaged at work.
• My personal property got damaged on base.
• My personal property got damaged on a non-CG base.
• My personal property, located in a Coast Guard designated location, was damaged during a natural disaster.

LSC-5E is solely responsible for the adjudication of all Coast Guard Personnel claims (except those arising from the transportation or storage of household goods (HHG)). Send Personnel claims directly to:

1. LSC-5E, Claims Division
   Legal Service Command Norfolk
   300 East Main Street, Suite 400
   Norfolk, VA 23510-9100




 

Household goods claims are not handled by the LSC.
FINCEN handles the Coast Guard’s household goods claims. FINCEN’s website is available here: http://www.fincen.uscg.mil/hhg.htm
Household goods (HHG) claims should be forwarded directly to:

1. Coast Guard Finance Center
   HHG Claims
   P.O. Box 4121
   Chesapeake, VA 23327-4121
   (757) 366-6504 or (757)366-6505

• Write a detailed account of the incident.
• Inform your command.
• Provide a SF-95 or inform the property owner that they can visit the LSC website if they want information on how to submit a claim.
• Note: The USCG is not a towing service. We should avoid providing towing services when a professional towing company is available.

• The U.S. Government Car Rental Agreement, Number 4 (the Agreement), effective October 15, 2010, is the Government’s current rental agreement with various rental car agencies. The Agreement is managed by The Defense Travel Management Office (DTMO).

• The Agreement provides liability coverage for an accident that occurs while an authorized military member or civilian employee is driving a rental vehicle for official travel and found to be acting within the scope of their duties.

• Use your Command’s designated official travel agency to make travel arrangements.
• For more information on renting cars on official travel, please see the DTMO website: .http://www.defensetravel.dod.mil/site/rental.cfm

Note: If a travel agent tells you that a rental car company does not offer a government rate, that particular rental car company does not participate in the Agreement.

• Yes. Coast Guard policy requires that members and employees rent from car rental locations that participate in the Agreement.

• Consider using a government vehicle.

• Report the accident immediately to the rental car company, the police, and your Command.
• Get a copy of the police report and a copy of the accident report filed with the rental car company.
• Contact LSC-5E Claims Division for assistance at (757) 628-4212.
• Your Command needs to complete a claims investigation as soon as possible.
• All documentation should be forwarded to:

1. Legal Service Command (LSC-5E)
   U.S. Coast Guard
   300 East Main Street, Suite 400
   Norfolk, VA 23510-9100


 

• INCONUS: No. In accordance with the Joint Federal Travel Regulations (JFTR), the rental car Damage Insurance Coverage cannot be reimbursed in the Continental U.S. (including Alaska, Hawaii, Puerto Rico, and U.S. Territories or Possessions).
• OCONUS: Depends upon location—check the JFTR.

• The government accident insurance deals with a specific government rate that requires the rental company to cover all damage to their rental car. Damage insurance coverage covers the rental car and all other costs resulting from the incident, including damage to other vehicles.
• Note: Many times the government rate is more expensive than an internet price. You must obtain the government rate regardless of the cost.

• Yes. The Government credit card provides notice to the rental car company that you are traveling on official government travel. A participating rental agency may not refuse to accept the Government credit card.

• The rental car company will most likely charge your credit card for all damages.
• Please contact this office prior to discussing payment with the rental car company.

• If you get a rental car on your own, know that the “military rate” is not the same as the “government rate.” The military rate is a military discount through a rental car agency. The “government rate” is the rate that the rental agency charges the government.
• If you have the government rate, you will most likely see a GAR fee (a daily amount that the rental car company charges the government) on your rental car agreement contract. The Government Administrative Rate Supplement (GARS) fee is not mandatory, but is almost always included.
• For more information refer to the ISC CO Conf Rental Cars FAQs
 

• LSC-5E can help.
• Please contact LSC-5E early so we can communicate with the appropriate people inside the rental car company.

• A contract is formed when a command rents a duty van. The rules are different for duty vehicles than for rental vehicles. Duty vans are normally not insured under the GARS agreement.

• The government is self-insured, which is why you do not need to go out and get insurance with TAD orders.
• If you get a demand letter for payment, call the LSC. Please have your rental agreement available, as well as a copy of your TAD orders. We will look at your rental car agreement to see whether you received the government rate through a participating agency.

• Pay it!!
• Tickets include: speeding tickets or tickets as a result of an accident (i.e. reckless driving, failure to stop).
• If you have a question about a ticket, call the LSC well in advance of the court date. It is in your best interest to call LSC immediately after the accident, or as soon as possible afterwards, so the LSC can help you.

• Call the police. Include the police report in your file.
• Inform your unit of the accident.
• Give a SF-95 to a potential claimant at the scene.
• Complete a SF-91 as soon as possible and get the other driver’s information. Be as thorough as possible.

A demand for payment, made from any member of the community, against the Coast Guard, for damage or loss arising from the Coast Guard’s action.

If you think you have a claim for damage, injury, or death, against the Coast Guard, you need to fill out a SF-95 and mail it to LSC-5E.

Legal Service Command (LSC-5E)
US Coast Guard
300 East Main Street, Suite 400
Norfolk, VA 23510-9100

Any time you request an administrative resolution of your claim.

Note: A SF-95 is not required for Admiralty claims but we recommend using the form to ensure that you provide all of the required information.

Click here for a printable copy of the SF-95 .

Read the SF-95 instruction contained on page 2 of the SF-95 form
Use the Line by Line Instructions contained within this webpage by moving your cursor over the applicable block.

Note: That these comments are for instructional purposes only and are not intended to be legal advice.

If you still have questions regarding the SF-95, you may call the LSC at (757) 628-4212, or e-mail us at: D05-SMB-Claims@uscg.mil

1. Make sure the SF-95 is completed and signed in ink.
2. Attach any and all supporting documentation to the SF-95.
3. Send the completed and signed SF-95, with any and all supporting documentation to:

Legal Service Command (LSC-5E)
US Coast Guard
300 East Main Street, Suite 400
Norfolk, VA 23510-9100

•Two estimates for repair or 1 itemized repair bill (once repairs are made)
•Pictures of damaged property
•Rental car receipts
•Witness Statements
•Police reports
•Any other documentation that supports the amount claimed

• Medical bills
• Doctor reports (e.g., ambulance and emergency room records, in-patient and out-patient records, doctors’ and nurses’ notes, x-rays, lab reports, and any other reports prepared in connection with diagnosis and treatment).
• Lost wages
• Any information that helps describe or support your personal injury amount.

No. The original SF-95 must be signed in ink and mailed to the LSC office.

Legal Service Command (LSC-5E)
US Coast Guard
300 East Main Street, Suite 400
Norfolk, VA 23510-9100

Send the completed and signed SF-95, with any and all supporting documentation to:

Legal Service Command Norfolk
LSC-5E, Claims Division
300 East Main Street, Suite 400
Norfolk, VA 23510-9100

If you have already submitted your claim form to an office other than LSC-5E you may contact LSC-5E to ensure we have received your claim form.

The action you take and the forms you complete are fact dependent as a result of your military status, please contact the legal service command at:

Legal Service Command (LSC-5E)
US Coast Guard
300 East Main Street, Suite 400
Norfolk, VA 23510-9100

• Mail the original to the LSC office immediately.

Legal Service Command (LSC-5E) US Coast Guard 300 East Main Street, Suite 400 Norfolk, VA 23510-9100