Sample Letters

U.S. Department of Homeland Security
Claims Management Branch
601 South 12th Street, TSA-9
Arlington, VA 20598-6009

TODAY.DATE
CLAIMANT.COMPANY
CLAIMANT.TITLE CLAIMANT.FIRST_NAME CLAIMANT.LAST_NAME
CLAIMANT.ADDRESS1
CLAIMANT.ADDRESS2
CLAIMANT.CITY, CLAIMANT.STATE CLAIMANT.ZIP
CLAIMANT.COUNTRY
Re: TSA Control Number: CLAIM.CLAIM_NUMBER
Dear Claimant:
Your claim against the United States in the amount of $CLAIM.CLAIM_AMOUNT has been granted in full.
Under the Federal Tort Claims Act (FTCA), this decision constitutes final administrative action on your claim.
Once you complete and return the enclosed form, your acceptance of this offer will be final and conclusive.
This will also waive your right to seek any additional payment on your claim from the Transportation Security
Administration (TSA) and its employees or any other part of the United States government.
To receive payment, please fill out the attached form and return it to TSA by:
Mail:

Claims Management Branch – TSA-9
ATTN: CLAIM.CLAIM_NUMBER – APPROVAL
Transportation Security Administration
601 South 12th Street
Arlington, Virginia 20598-6009

Fax:

For faster service, please fax to: (571) 227-4175

Should you have any questions, you may reach the Claims Management Branch at (571) 227-1300 or by e-mail
at [email protected].
Yours sincerely,

Donna H. Kane
Branch Chief
Claims Management Branch
Enclosure

www.TSA.gov
File 600.9.2
CMB 5-1-7

TODAY.DATE
CLAIMANT.COMPANY
CLAIMANT.TITLE CLAIMANT.FIRST_NAME CLAIMANT.LAST_NAME
CLAIMANT.ADDRESS1 - CLAIMANT.ADDRESS2
CLAIMANT.CITY, CLAIMANT.STATE CLAIMANT.ZIP
CLAIMANT.COUNTRY

Re: TSA Control Number: CLAIM.CLAIM_NUMBER
Dear Claimant:
We have reviewed your claim against the United States under the Federal Tort Claims Act. Based on this
review, and applicable law, the Transportation Security Administration (TSA) offers to settle your claim by
paying you $CLAIM.CLAIM_AMOUNT. The offer is less than the full amount you claimed because we
concluded one or more of the following:





The offer reflects the reasonable cost of repairing your property
A portion of your claim represents an item that is prohibited in checked baggage or as carry-on
The offer represents the properly depreciated or fair market value of your property
The offer is appropriate based on other applicable considerations

To accept or reject this offer, please complete the enclosed form and return it to TSA via:
Mail:

Claims Management Branch – TSA-9
ATTN: CLAIM.CLAIM_NUMBER – SETTLEMENT
Transportation Security Administration
601 South 12th Street
Arlington, Virginia 22202-4220

Fax:

For faster service, please fax to: (571) 227-4175

Acceptance of this payment is final and conclusive, and constitutes a complete release of any claim against the
United States and against any TSA employee whose alleged negligent or wrongful act or omission gave rise to
this claim, by reason of the same subject matter. If we do not receive your response within 90 days, we will
presume that you have rejected the offer and deny your claim.
Should you have any questions, you may reach the Claims Management Branch at (571) 227-1300 or by e-mail
at [email protected].
Yours sincerely,

Jeffrey M. Bobich
Director
Office of Financial Management
Enclosure

TODAY.DATE

www.TSA.gov
File 600.9.2
CMB 5-1-7

CLAIMANT.COMPANY
CLAIMANT.TITLE CLAIMANT.FIRST_NAME CLAIMANT.LAST_NAME
CLAIMANT.ADDRESS1 - CLAIMANT.ADDRESS2
CLAIMANT.CITY, CLAIMANT.STATE CLAIMANT.ZIP
CLAIMANT.COUNTRY

Re: TSA Control Number: CLAIM.CLAIM_NUMBER
Dear Claimant:
We have reviewed your claim against the United States under the Federal Tort Claims Act. Based on this
review, and applicable law, the Transportation Security Administration (TSA) offers to settle your claim by
paying you $CLAIM.CLAIM_AMOUNT. The offer is one half of the amount you claimed or substantiated
(less any depreciation) because we concluded that it was not possible to determine whether TSA or your air
carrier was responsible for your loss.
To accept or reject this offer, please complete the enclosed form and return it to TSA via:
Mail:

Claims Management Branch – TSA-9
ATTN: CLAIM.CLAIM_NUMBER – SETTLEMENT
Transportation Security Administration
601 South 12th Street
Arlington, Virginia 22202-4220

Fax:

For faster service, please fax to: (571) 227-4175

Acceptance of this payment is final and conclusive, and constitutes a complete release of any claim against the
United States and against any TSA employee whose alleged negligent or wrongful act or omission gave rise to
this claim, by reason of the same subject matter. If we do not receive your response within 90 days, we will
presume that you have rejected the offer and deny your claim.
Should you have any questions, you may reach the Claims Management Branch at (571) 227-1300 or by e-mail
at [email protected].
Yours sincerely,

Jeffrey M. Bobich
Director
Office of Financial Management
Enclosure

www.TSA.gov
File 600.9.2
CMB 5-1-7