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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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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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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Your employer will pay you 2/3 of your average weekly wage. This is called your compensation rate. There is a limit on how much you can receive, and the limit is different for different dates of injury.
Regardless of your date of injury, if your incapacity is total, you may receive benefits for as long as you are unable to work.
Do you have to pay taxes on your workers' compensation payments? The answer is no. Whether you received wage loss benefits on a weekly basis or a lump sum settlement, workers' compensation is not taxable. IRS Publication 907 reads as follows: ?The following payments are not taxable ?
The maximum compensation rate for injuries on or after January 1, 2020 is 125% of the State Average Weekly Wage. Update for 2022: the state average weekly wage (SAWW) to $1,036.13. Provides that the maximum for injuries occurring July 1, 2022, through June 30, 2023, is $1295.16. States that the multiplier is 1.05298.
Typically, if your new job pays you less than you were making prior to your injury, you can still receive payment for the difference in wages. You can also continue to receive medical benefits for all healthcare costs related to your injury. If you're disabled, you can still receive disability benefits.