[Code of Federal Regulations]

[Title 14, Volume 1]

[Revised as of January 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 14CFR15.7]



[Page 82-83]

 

                     TITLE 14--AERONAUTICS AND SPACE

 

CHAPTER I--FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION

 

PART 15_ADMINISTRATIVE CLAIMS UNDER FEDERAL TORT CLAIMS ACT--Table of 

Contents

 

                      Subpart A_General Procedures

 

Sec. 15.7  Administrative claims; evidence and information to be 

submitted.



    (a) Death. In support of a claim based on death, the claimant may be 

required to submit the following evidence or information:

    (1) An authenticated death certificate or other competent evidence 

showing cause of death, date of death, and age of the decedent.



[[Page 83]]



    (2) The decedent's employment or occupation at time of death, 

including monthly or yearly salary or earnings (if any), and the 

duration of last employment or occupation.

    (3) Full names, addresses, birth dates, kinship, and marital status 

of the decedent's survivors, including identification of those survivors 

who were dependent for support upon the decedent at the time of death.

    (4) Degree of support afforded by the decedent to each survivor 

dependent upon decedent for support at the time of death.

    (5) Decedent's general, physical, and mental conditions before 

death.

    (6) Itemized bills for medical and burial expenses incurred by 

reason of the incident causing death or itemized receipts of payment for 

such expenses.

    (7) If damages for pain and suffering prior to death are claimed, a 

physician's detailed statement specifying the injuries suffered, 

duration of pain and suffering, any drugs administered for pain, and the 

decedent's physical condition in the interval between injury and death.

    (8) Any other evidence or information which may have a bearing on 

either the responsibility of the United States for the death or the 

amount of damages claimed.

    (b) Personal injury. In support of a claim for personal injury, 

including pain and suffering, the claimant may be required to submit the 

following evidence or information:

    (1) A written report by the attending physician or dentist setting 

forth the nature and extent of the injuries, nature and extent of 

treatment, any degree of temporary or permanent disability, the 

prognosis, period of hospitalization, and any diminished earning 

capacity.

    (2) In addition to the report required by paragraph (b)(1) of this 

section, the claimant may be required to submit to a physical or mental 

examination by a physician employed by the FAA or another Federal 

agency. A copy of the report of the examining physician is made 

available to the claimant upon the claimant's written request if the 

claimant has, upon request, furnished the report required by paragraph 

(b)(1), and has made or agrees to make available to the FAA any other 

physician's reports previously or thereafter made on the physical or 

mental condition which is the subject matter of the claim.

    (3) Itemized bills for medical, dental, and hospital expenses 

incurred or itemized receipts of payment for such expenses.

    (4) If the prognosis reveals the necessity for future treatment, a 

statement of expected expenses for such treatment.

    (5) If a claim is made for loss of time from employment, a written 

statement from the claimant's employer showing actual time lost from 

employment, whether the claimant is a full or part-time employee, and 

wages or salary actually lost.

    (6) If a claim is made for loss of income and the claimant is self-

employed, documentary evidence showing the amount of earnings actually 

lost.

    (7) Any other evidence or information which may have a bearing on 

the responsibility of the United States for the personal injury or the 

damages claimed.

    (c) Property damage. In support of a claim for injury to or loss of 

property, real or personal, the claimant may be required to submit the 

following evidence or information:

    (1) Proof of ownership of the property interest which is the subject 

of the claim.

    (2) A detailed statement of the amount claimed with respect to each 

item of property.

    (3) An itemized receipt of payment for necessary repairs or itemized 

written estimates of the cost of such repairs.

    (4) A statement listing date of purchase, purchase price, and 

salvage value, where repair is not economical.

    (5) Any other evidence or information which may have a bearing on 

either the responsibility of the United States for the injury to or loss 

of property or the damages claimed.