Massachusetts Workers Compensation - Official forms

Workers Compensation - Official - 37 37a Proceedings

• Agreement Under 37 37a for Workers' Compensation MA-123-WC
• Request for 37 37a Proceeding for Workers' Compensation MA-122-WC

Workers Compensation - Official - Agreements

• Agreement to Pay Compensation for Workers' Compensation MA-113-WC

Workers Compensation - Official - Appeals

• Appeal to Reviewing Board for Workers' Compensation MA-112-WC
• Appeal of Conference Proceeding for Workers' Compensation MA-121-WC

Workers Compensation - Official - Arbitration

• Notification of Arbitration Award for Workers' Compensation MA-124A-WC

Workers Compensation - Official - Attorneys

• Notice Counsel for Workers' Compensation MA-114-WC

Workers Compensation - Official - Claims

• Employees Claim for Workers' Compensation MA-110-WC

Workers Compensation - Official - Conferences

• Affidavit in Support Speedy Conference for Workers' Compensation MA-132-WC
• Request for Speedy Conference for Workers' Compensation MA-131-WC
• Temporary Conference Memo Cover for Workers' Compensation MA-140-WC

Workers Compensation - Official - Exemptions

• Affidavit of Exemption for Certain Corporate Officers or Directors - Workers' Compensation MA-153-WC

Workers Compensation - Official - Extensions

• Agreement to Extend 180 Day Period for Workers' Compensation MA-105-WC

Workers Compensation - Official - Healthcare Providers

• Health Care Provider Complaint for Workers' Compensation MA-134-WC

Workers Compensation - Official - Hearings

• Employee Hearing Memo for Workers' Compensation MA-161-WC
• Insurer Hearing Memo for Workers' Compensation MA-162-WC

Workers Compensation - Official - Histories

• Employee Biographical Data for Workers' Compensation MA-160-WC

Workers Compensation - Official - Improper Claims

• Complaint Improper Claims Handling for Workers' Compensation MA-130-WC

Workers Compensation - Official - Indigency

• Affidavit of Indigence for Workers' Compensation - In Forma Pauperis MA-136-WC

Workers Compensation - Official - Liens

• Lien Disclosure for Workers' Compensation MA-116C-WC

Workers Compensation - Official - Lump Sums

• Request for 46A Conference In Conjunction with Lump Sum Under 48 for Workers' Compensation MA-46A-WC
• Lump Sum Agreement for Workers' Compensation MA-117A-WC
• Lump Sum Agreement for Workers' Compensation MA-117-WC
• Addendum to Lump Sum Agreement for Workers' Compensation MA-116B-WC
• Employer Consent to Lump Sum for Workers' Compensation MA-116A-WC

Workers Compensation - Official - Offers

• Last Best Offer for Workers' Compensation MA-141-WC

Workers Compensation - Official - Physicians

• Agreement No Impartial Physician Report for Workers' Compensation MA-121A-WC

Workers Compensation - Official - Rehabilitation

• Individual Rehab Program for Workers' Compensation MA-151-WC
• Vocational Rehab Plan for Workers' Compensation MA-152-WC

Workers Compensation - Official - Reports

• Employee Earnings Report for Workers' Compensation MA-126-WC

Workers Compensation - Official - Requests

• Affidavit in Support of Request for Workers' Compensation MA-112A-WC

Workers Compensation - Official - Utilization Reviews

• UR Agent Complaint for Workers' Compensation MA-133A-WC

Workers Compensation - Official - Withdrawals

• Notification of Withdrawal for Workers' Compensation MA-109-WC