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Defense Base Act (DBA) APPLICATION CUSTOMER BROKER×AGENT ADDRESS QUOTE NEEDED BY CONTACT INTENDED INCEPTION EMAIL PHONE FAX INDIVIDUAL CORPORATION SUBCHAPTER S CORPORATION PARTNERSHIP JOINT VENTURE
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How to fill out defense base act dba
How to fill out defense base act dba:
01
Start by gathering all the necessary information such as your personal details, employment history, and injury or illness related information.
02
Download the Defense Base Act DBA form from the official website or obtain a physical copy from your employer or insurance carrier.
03
Begin filling out the form by providing your full name, contact information, and social security number.
04
Enter your job title, employer's name, and the date you started working for them.
05
Specify the location of the job site where the injury or illness occurred.
06
Provide a detailed description of the incident, including the date, time, and nature of the event.
07
Indicate the specific injuries or illnesses you sustained as a result of the incident.
08
If applicable, include any medical treatments or procedures you have undergone or are currently undergoing.
09
Attach any supporting documentation such as medical records, incident reports, or witness statements.
10
Sign and date the form, and make a copy for your records before submitting it to your employer or insurance carrier.
Who needs defense base act dba:
01
Employees working for private contractors or subcontractors on U.S. military bases or outside the United States need Defense Base Act (DBA) coverage.
02
This includes individuals engaged in activities such as construction, maintenance, security, transportation, and any other work associated with the military.
03
DBA coverage is mandatory and provides benefits for workers who suffer injuries or illnesses while working in these high-risk environments.
04
It applies to both U.S. citizens and foreign nationals employed by U.S. contractors.
05
Employers are responsible for securing DBA insurance for their employees to ensure their protection and compliance with the law.
06
DBA also covers employees engaged in public works contracts outside the United States, such as building roads, bridges, and dams.
07
Contractors, subcontractors, and their respective employees should familiarize themselves with the necessary requirements and seek proper DBA coverage.
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What is defense base act dba?
The Defense Base Act (DBA) is a federal workers' compensation program that provides benefits to employees working overseas on US military bases or under a US government contract for public works or national defense.
Who is required to file defense base act dba?
Any employer engaged in public work contracts with the United States government overseas or any employer working on a US military base outside of the United States is required to provide DBA coverage for their employees.
How to fill out defense base act dba?
Employers must obtain DBA insurance coverage from an authorized insurance carrier and file Form LS-202 with the Department of Labor's Office of Workers' Compensation Programs.
What is the purpose of defense base act dba?
The purpose of the Defense Base Act is to provide disability compensation, medical treatment, and rehabilitation services to employees who are injured or killed while working overseas on US military bases or under a government contract.
What information must be reported on defense base act dba?
Employers must report the names and addresses of covered employees, the location and nature of the work being performed, and the dates of the contract period.
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