The request for waiver must be made in writing on Form BEC 565, Request for Waiver-Defense Base Act, by the head of a department or agency of the United States government. The Form BEC 565 and other pertinent information should be submitted to the Director, OWCP, U.S. Department of Labor, ESA/OWCP, Division of Longshore and Harbor Workers’ Compensation, 200 Constitution Avenue NW, Rm C-4315, Washington, DC 20210.

Copies of the Form BEC 565 may be obtained in writing from the Director, Division of Longshore and Harbor Workers’ Compensation, at the same address, by email [email protected], or by calling the Longshore National Office at (202) 693-0038.