Massachusetts Workers Compensation Questionnaire

State:
Multi-State
Control #:
US-Q1038
Format:
Word; 
Rich Text
Instant download

Description

This form addresses important matters that may effect the legal rights and obligations of the parties in a workers' compensation matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorney’s case evaluation and can significantly reduce costs associated with case preparation.



This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new client’s needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.


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FAQ

It's illegal for an employer to discharge, demote, refuse to hire, or otherwise discriminate against an employee for collecting workers' compensation benefits or cooperating with a work accident inquiry.

Types of worker's compensation benefits find your actual gross earnings, including overtime, bonuses, etc. divide this number by the number of weeks you worked at your job to compute your average weekly wage. Multiply that number by 60% (. 60) to come up with your approximate weekly compensation.

This is a section of the MA Workers Comp Law that provides weekly disability payments to Employee's who are partially disabled. This means that while they may not be able to perform the job they were doing at the time of their work injury, the do retain the ability to do some work.

If you were injured at work, you may be eligible for workers' compensation benefits. If you qualify, you can receive payments to partially replace your paycheck and for medical care related to your injury. You may also be eligible for vocational rehabilitation if you need help getting back to work.

If your employer did not procure the required insurance, you may be able to make a claim against the Workers' Compensation Trust Fund, which was created based on the requirements of MGL c. 152, § 65.

Types of Workers' Compensation Benefits in Massachusetts The weekly TTI payments are calculated as 60% of your average weekly wage before your injury or illness, subject to a maximum and minimum based on the statewide average weekly wage (SAWW) at the time of your injury.

Weekly TTI payments are calculated as 60% of your average weekly wage before your injury or illness, subject to a maximum and minimum based on the statewide average weekly wage (SAWW) at the time of your injury. You'll receive the full amount of your pre-injury wages if they were less than the minimum.

With temporary total injuries, your benefits can last a maximum of 156 weeks. However, you cannot get these benefits in the first place if your injury will keep you out of work for less than 21 days. You also do not get benefits for your first 5 days out of work; benefits start on the 6th day out of work.

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Massachusetts Workers Compensation Questionnaire