Attorney Fee Approval Request

You must use this form to request the District Director’s approval of an attorney fee under Section 28 of the Longshore and Harbor Workers’ Compensation Act and its extensions. You must serve a copy on the relevant employer/carrier(s) and their representatives. You must support the application with a complete statement of the extent and character of the necessary work done, described with particularity as to the professional status, the normal billing rate, and the hours spent by each person in representing the claimant.See 20 CFR 702.132.