Maine Employees Return To Work Report

State:
Maine
Control #:
ME-SKU-0773
Format:
PDF
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Description

Employees Return To Work Report

The Maine Employees Return To Work Report is a form required by employers in the state of Maine to document the health status of employees returning to work after a period of absence. This report must be completed by the employer and returned to the Maine Department of Labor within 48 hours of the employee’s return. It is used to document the employee’s health status and any necessary accommodations or restrictions required to ensure a safe and productive workplace. The report may include information such as the employee’s medical condition, any special safety measures, and restrictions on the employee’s duties. There are two main types of Maine Employees Return To Work Report: the Standard Report and the Special Report. The Standard Report is applicable to most return-to-work situations and the Special Report is for more complex situations, such as those involving an employee with an injury or severe illness.

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FAQ

For further assistance, contact the Maine Workers' Compensation Board, ADA Coordinator, telephone: (888) 801-9087 or TTY (877) 832-5525.

The law requires almost all public and private employers to have workers' compensation coverage. The law defines employers as ?private employers, the State, counties, cities, towns, water districts, other quasi?public corporations, municipal school committees, and design professionals.?

Once you give notice of your injuries, your employer must fill out a form called a "First Report of Injury" within seven days. Your employer must file the report with the Maine Workers' Compensation Board and provide a copy to you and its insurance company.

Injured workers are entitled to wage replacement and medical treatment benefits. Wage replacement is equal to two-thirds of your average weekly wages, subject to a maximum equal to 90 percent of the Maine average weekly wage. In most cases, you may receive partial incapacity compensation for a maximum of 520 weeks.

Maine Workers' Compensation Insurance Coverage It can help cover: Accidents or injuries that occur due to an employee's job. Wage replacement if your employee has to miss work to recover from a work-related injury or illness. Medical treatment for an employee's work-related injury or illness.

If you wait more than 60 days after the injury, you will lose the right to claim workers' compensation benefits.

If you wait more than 60 days after the injury, you will lose the right to claim workers' compensation benefits.

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Maine Employees Return To Work Report