Forms and Downloads

Longshore & Defense Base Act Claim Forms
Employee's Claim for Compensation (LS-203)
Claim for Death Benefits (LS-262)
     Mailing your forms: Find your local District Office

Authorizations
Medical Information Authorization
Mariner's Authorization to U.S. Coast Guard
Information Release
Request for Copy of Tax Return
Request for Social Security Earnings Information

Client Interview Questionnaires
Seamen (Jones Act)
Longshore Workers (LHWCA)
Cruise Ship Passengers
Defense Base Act Workers (DBA)
Railroad Workers / Federal Employers Liability Act (FELA)
Auto Accidents
General Personal Injury
 

Additional Information Forms
Witness Information
Cruise Ship Itinerary

State Disability Forms
California EDD Claim for Disability Insurance Benefits

To download these forms you will need Adobe Reader.  To download for free, click the image below.