This is one of the official Workers' Compensation forms for the state of Massachusetts.
Massachusetts Health Care Provider Complaint for Workers' Compensation
State:
Massachusetts
Control #:
MA-134-WC
Format:
PDF
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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
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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FAQ
With a private right of action, you may sue your employer on your own or as a group with other workers, if they have similar complaints. If you win your case in court, you have a right to receive: triple damages, attorney fees, and.
If you are not able to provide a written complaint, you may call our 24 hour consumer complaint line at (800) 462-5540 or (617) 753-8150.
To make a complaint about an unsafe workplace in these industries, you can call on 1300 814 609, make a complaint online or email cau@planning.nsw.gov.au.
Ask for the customer service department. If the issue isn't resolved, you can file a complaint with the state Department of Managed Health Care. Call 888-466-2219 or file an online complaint at HealthHelp.ca.gov.
If you have questions or concerns, you can contact us at 1-866-487-9243 or visit www.dol.gov/agencies/whd. You will be directed to the nearest WHD office for assistance. There are WHD offices throughout the country with trained professionals to help you.
Registered users can lodge a complaint online with the National Consumer Helpline portal of Ministry of Consumer Affairs, Food and Public Distribution. Users need to register themselves with the portal to file or lodge their complaints online. One can also check the status of already filed complaints.
File a complaint with the OPP using the external review request form here. Call the OPP by phone: (800) 436-7757.
File a complaint with the state Attorney General If your employer breaks the law, you can file a complaint about their wage or work violation with the Massachusetts Office of the Attorney General, 617-727-3465. The Office of the Attorney General can ask for payment from your employer or take the employer to court.
501 Boylston Street, Suite 5100 Boston, MA 02116 Consumer Hotline: (617) 973-8787 or (888) 283-3757 toll free (MA only) Use our Question / Complaint Form to submit inquiries online. The Office of Consumer Affairs and Business Regulation is committed to protecting consumers through consumer advocacy and education.
