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Top Questions and Answers
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.
Related Searches
FORMS ; WCB-1, Employer's First Report of Occupational Injury or Disease ; WCB-2, Wage Statement (Updated 9-3-20) (PDF) ; WCB-2, Wage Statement (Updated 9-3-20) ( ... The full Forms and Petitions Manual, as well as Maine WC Law, Rules and Regulations, blank forms, ... WORKERS' COMPENSATION BOARD'S OFFICES TO FIND OUT WHAT ... Get the latest workers' compensation insurance forms for Maine. Access common workers' comp forms Maine, applications, guides and helpful manuals for ME. This Claim Kit is provided for your use in reporting all employee job related injuries. Copy the forms as needed. Employer's First Report of Injury (FROI). This ... 29-Jun-2023 — G. Forms · 1. Memorandum of Payment or MOP (WCB-3) · 2. Discontinuance or Modification of Compensation (WCB-4) · 3. Consent between Employer and ... 01-Jan-2013 — MAINE WORKERS' COMPENSATION BOARD FORMS REFERENCE ... INSTRUCTIONS FOR COMPLETING. STATEMENT OF COMPENSATION PAID, WCB-11. Identifying Information. Fill out this form to apply for workers' compensation benefits because of a work injury or work-related illness. Required items are indicated by an *. Download a fillable version of Form WCB-11 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board. Free Maine Workers Compensation Forms ; Memorandum Of Payment, April 18, 2019 ; Employee Expense Form, April 18, 2019 ; Discontinuance Or Modification Of ... Owners of limited liability companies are not required to be covered by workers' compensation and do not need to fill out wavier forms. The parent, spouse, or ...
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