If there is a dispute regarding § 13A for which a judicial proceeding is being sought, fie la Form 115 - Third Party Claim/Notice of Lien and check off the CLAIM box. at the top and fill out box number 14.

If you want to attach a notice of lien on the case, and no proceeding before the board is desired, you must also fill out the Form 115 - Third Party Claim/Notice of Lien and check off the LIEN box at the top of the form and fill out box number 13.