Defense Base Act Attorneys

DBA Forms

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Click on the links below for forms commonly used in Defense Base Act claims. For questions on how to complete these forms, contact us for free tips from one of our lawyers.

Form Number OWCP’s Form Title/Description
LS-1 Request for Examination and/or Treatment
LS-18* Pre-Hearing Statement
*Online submission now available.
LS-33 Approval of Compromise of Third Person Cause of Action
LS-200 Report of Earnings
LS-201 Notice of Employee’s Injury or Death
LS-202* Employer’s First Report of Injury or Occupational Illness
*Online submission now available.
LS-203 Employee’s Claim for Compensation
LS-204 Attending Physician’s Supplementary Report
LS-205 Physician’s Report on Impairment of Vision
LS-206* Payment of Compensation Without Award
*Online submission now available.
LS-207* Notice of Controversion of Right to Compensation
*Online submission now available.
LS-208* Notice of Final Payment or Suspension of Compensation Payments
LS-210 Employer’s Supplementary Report of Accident or Occupational Illness

To speak with one of our Defense Base Act attorneys call 888-587-9288. If you would like us to contact you, please email us at howard@grossmanattorneys.com or complete the contact form below. Our attorneys never charge a fee for consultations, and are available at night and on the weekends.

 

WHEREVER YOU NEED US TO BE.

Toll Free: 888.587.9288  •  Local: 561.208.5585  •  Fax: 561.391.1193


HEADQUARTERS: BOCA RATON
 
1098 NW Boca Raton Boulevard, Boca Raton, Florida 33432

CLEWISTON 1008 W. Sagamore Avenue, Suite 3, Clewiston, Florida 33440

WEST PALM BEACH 823 North Olive Ave., WPB, Florida 33401 T 561-368-8048

STUART 321 East Osceola Street, Suite 2, Stuart, Florida  34994

 

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience. This web site is designed for general information only. The information presented at this site or the submission of any form or email should not be construed to be formal legal advice nor the formation of a lawyer/client relationship.

Our attorneys are experienced in Defense Base Act litigation. Our law firm assists those injured overseas, including civilians working under a contract for an employer contracted with the US government, or any agency or department thereof in Iraq, Afghanistan, Kuwait and on all military bases. We routinely handle Defense Base Act claims for injured workers residing in Florida, Georgia, Mississippi, South Carolina, Camp LeJeune, Fort Bragg, NC, Raleigh, NC, Virginia, New York, New Jersey, Texas, Kansas, Oklahoma, Michigan, Illinois, California, Colorado, Alaska, and cities and states throughout the United States. We also represent injured contractor employees from Iraq, Afghanistan, Kuwait, Dubai, Turkey, Uganda, Thailand, Sweden, England, Australia, Bosnia, Italy, and countries throughout Europe.