Human Resources Division - Collaborative HR Solutions
Wednesday, January 18, 2017
Workers' Comp Home
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Downloadable Forms
Notice of Injury Packet Forms
Notice of Injury and Internal Claims Investigation
Medical Release
Physicians Report
Injured Workers' Guide to Medical Treatment
Concurrent Employment Review
Average Weekly Wage Computation Schedule(Form 127)
First Fill Form
Additional Forms
Notice of Resumption
Agreement to Pay Compensation (Form 113)
Insurer's Notification of Termination or Modification During Payment without Prejudice Period (Form 106)
Insurer's Notification of Acceptance, Resumption or Termination or Modification (Form 107)
Travel Reimbursement
Related Links
Massachusetts Fee Schedule
Mass Finance/VendorWeb
a common access point for Commonwealth vendors from which they may get their payment information
Department of Industrial Accidents
Attorney information and links to the law