Defense Base Act Forms

All The Forms in One Place

Download commonly Used Forms in DBA Claims

For questions on how to complete these forms, contact us for free tips from one of our lawyers.

Pre-Hearing Statement

Report of Earnings

Notice of Employee's Injury or Death

Employer’s First Report of Injury or Occupational Illness

Employee’s Claim for Compensation

Attending Physician’s Supplementary Report

Work Capacity (Psychiatric/Psychological Conditions)

Work Capacity (Cardiovascular/Pulmonary)

Work Capacity (Orthopedic)