This is one of the official Workers' Compensation forms for the state of Maine.
This is one of the official Workers' Compensation forms for the state of Maine.
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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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You are eligible for up to 200 weeks of permanent partial disability benefits for a shoulder injury, labrum tear, or torn rotator cuff. Such an injury often causes permanent impairment to your entire arm.
The value of your claim could span a wide range because there are different factors that will influence it. Shoulder injury claims can typically be anywhere from $10,000 to $200,000, or more. Knowing how much money you can expect to receive requires information about your car accident.
The most severe shoulder injuries may have a typical settlement payout in the range of $150,0000 to $300,000 or more.
Workers' comp cases with head injuries settle for the most money compared to settlements for all other body parts.
You can get a 20%, 30%, 40%, or 50% rating for a torn rotator cuff. The VA might also use diagnostic code 5304 to assign the rating if the injury affects the shoulder muscles. The ratings are 0%, 10%, 20%, and 30% depending on severity and whether the injury is to your dominant or non-dominant arm.