Sample Lead Report

This is what you'd receive.

Every lead includes full intake data, screening answers, and a qualification decision — ready for your intake team to review and act on.

This is a sample report with realistic but fictitious data. Client name and employer are redacted per our privacy policy. Real leads include full contact details upon purchase.
LEAD #PH-2847  ·  Received 3 days ago
Defense Base Act — Back Injury
Qualified — Ready for Attorney Review
Injury Type
Back / Spinal
Location
Bagram AB, Afghanistan
Language
English
Claim Type
DBA (Defense Base Act)
Claimant
Name
J. M. (redacted)
Contact
Provided on purchase
Country of Origin
United States
Preferred Language
English
Best Time to Contact
Mornings (8am–11am EST)
Employment
Employer
Defense contractor (redacted)
Job Title
Construction Foreman
Deployment Location
Bagram Air Base, Afghanistan
Employment Period
Mar 2022 – Nov 2023
Contract Type
U.S. Government subcontract
Injury Details
Incident Type
Fall from scaffolding
Body Part Affected
Lower back, L4–L5 disc herniation
Date of Injury
September 14, 2023
Treatment Received
ER visit + 2 surgeries
Currently Treating
Yes — physical therapy
Claim Status
Prior Claim Filed
No — first contact with attorney
Prior Attorney
None
Statute of Limitations
Within window (1 yr remaining)
Employer Insurance
Believed to be insured
Case Value Estimate
High — surgical + lost wages
Screening Answers
  • Were you injured while working overseas for a U.S. government contractor?
    Yes — working as foreman on a DOD construction project at Bagram Air Base.
  • Did the injury require medical treatment beyond first aid?
    Yes — emergency care at base, then medevac'd. Two surgeries at Walter Reed (L4-L5 discectomy, spinal fusion). Still in PT.
  • Has a DBA or workers' compensation claim been filed previously?
    No. Employer initially said injury was "not work-related." No claim filed. Claimant learned DBA coverage may apply through a community group.
  • Are you currently working or have you missed time from work due to the injury?
    Unable to return to field work. On modified duty (administrative only) at 60% of prior wage. Anticipates permanent restrictions per treating physician.
  • Do you have documentation of the incident, employment, or treatment?
    Has incident report filed with base security, employment contract, pay stubs, and Walter Reed discharge paperwork. Willing to provide immediately.
Qualification Score
Overall score 94 / 100
DBA-Eligible Documented Injury Active Treatment Lost Wages No Prior Claim Docs Available
Lead Timeline
  • 3 days ago, 11:42 PM EST
    Intake form submitted (English)
  • 3 days ago, 11:43 PM
    Auto-response sent to claimant
  • 3 days ago, 11:43 PM
    Screened and qualified — score 94/100
  • Now
    Available for attorney review and purchase

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