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Get ME WCB-265 2011-2024

SENGER SERVICES NOTICE The predetermination process is voluntary under the Maine Workers’ Compensation Act. If you are injured you can still file a claim for benefits with the Board—you do not give up any rights under Maine’s Workers’ Compensation Law by filing this Predetermination. You may have other rights as an employee under Maine law. Approved predeterminations are valid for one year from the date of approval. Pursuant to section 105 of the Maine Workers’ Compensation Act, _____.

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