Cacciatore Legal LLC
513-443-1002
Defending Careers Across
Federal Agencies, 
Airspace, and
Chains of Command

Instructions


This is a short screener for federal government workers’ compensation matters under OWCP/FECA. We use it to decide whether we should (1) invite you to schedule a case review, (2) accept representation, or (3) refer you elsewhere.

We will treat what you submit as confidential and use it only to evaluate whether we can help. Submitting this form does not create an attorney–client relationship. We can’t represent you unless we confirm conflicts and we both sign an engagement agreement.

Be specific and date-anchored. If you don’t know an exact date, give your best estimate and tell us what you used to estimate it.

Do not include sensitive identifiers. Please do not enter or upload Social Security numbers, passwords, or full financial account numbers.

Uploads (optional, recommended): If you have documents, upload only the most recent key items (examples below). This form limits file attachments to 50MB per file. If your file is too large, submit the form and tell us what you have—we’ll provide a secure upload option if needed.

Before you start, we suggest you have the following on hand (if available): your most recent OWCP letter/decision or development letter, your OWCP claim number, any CA-1/CA-2 and recent CA-7 submissions, a recent medical narrative or work-restriction note, and any second opinion/IME/referee reports. If you don’t have everything, submit what you do have—dates and the most recent OWCP document are the most helpful.

Contact information

Emails
*
Upon submission, a copy of this form will be sent to the primary email.
Add email
Addresses
Add address
Phone numbers
Add phone number

City and State or Country and APO

Example: right shoulder rotator cuff tear; low back strain; PTSD; carpal tunnel.

FECA matters are often won or lost on medical causation narratives and documentation, so this snapshot is intentionally included early enough to screen efficiently.

By submitting this form, you represent the following: 

I understand that submitting this form does not create an attorney–client relationship and does not guarantee legal representation. 

I understand I must not include classified/confidential or time-sensitive information. 

I agree to the Cacciatore Legal privacy policy. 

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.