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Ask us about your case of if you have a question about the Defense Base Act benefits by filling in the form below. Because we respond to all inquiries, it is important that the information be entered correctly, especially your email address. 

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    Do you want to be contacted by Telephone?   Work Phone    or Home Phone

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    Where did the injury or death occur? (Country & City.)

    Please use the box below to explain your case and include the information you think is important for us to know.  If we have questions or need more information, we will contact you.   Please put in the Company for whom you worked. and if it was for the Military or for a US Government contract

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Legal Disclaimer:  By clicking on submit form, I agree that by submitting this query and/or question I will not be charged for the response.  I also understand that I am not forming an attorney-client relationship with your law firm.   I agree that the above does not constitute a request for legal advice. I understand that I may retain your firm's services by entering into an agreement, and that I am not now entering into such an agreement. I agree that the information that I will receive from you in answer to the above question is general information only and without charge. I further understand that the law for each state is different, and I will not rely upon this information as legal advice.