P&H Legal Solutions - Free Case Evaluation

Case Type

Details

Contact

Review

What type of case do you have?

Select the category that best describes your situation.

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Defense Base Act (DBA)

Injured as a civilian contractor at an overseas military base

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Longshore & Harbor Workers

Injured while working on navigable waters or at a port

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Workplace Personal Injury

Injured at a construction site, factory, or other workplace

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Workers' Compensation

Seeking compensation for a work-related injury or illness

Tell us about the incident

This information helps attorneys evaluate your case. Fill in what you can.

When did the injury occur?

Country where injury occurred

US Employer / Contractor Name

Work Location

Overseas Military Base (if applicable)

Describe your injury

Current medical status

Have you filed a compensation claim?

Yes

Not sure

When was your last employment date overseas?

Upon return home did you immediately start treatment?

Yes

N/A

Have you previously contacted any other attorney about this?

Yes

Is this your first DBA claim or have you filed any other claims before? If so, what was it for?

First claim

Filed before

When was your previous claim filed, and when was it completed? (If first claim, write N/A)

Your Contact Information

How should a qualified attorney reach you?

Full Name *

Please enter your full name

Nationality / Country of Origin

Phone (preferred)

Phone Number *

Please enter a phone number or email

Email Address

Please enter a valid email

Additional Notes (if applicable)

Review Your Information

Please confirm everything looks correct before submitting.

⚠ Important: P&H Legal Solutions is not a law firm. Submitting this form does not create an attorney-client relationship. Your information will be shared with a qualified attorney for a free case evaluation.

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Thank You!

Your information has been submitted. A qualified attorney will review your case and contact you shortly.

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