You will need to download and complete Form 110 – Employee Claim. To request in-home accident and injury care services fill out our request form above or call 781-886-2254.For a free, no obligation evaluation of your vehicle accident on the job, please complete our online form or call us toll free at 800-367-0871. The form has to be submitted within seven calendar days (excluding Sundays and legal holidays) from the fifth day of lost work time. After being involved in a car accident in Massachusetts, you should seek medical treatment right away for any injuries or pain you suffer. If you're injured in a car accident in Massachusetts, you typically need to file a claim under your own personal injury protection (PIP) car insurance coverage. If you're injured in a car accident in Massachusetts, you typically need to file a claim under your own personal injury protection (PIP) car insurance coverage. After seeking any necessary medical attention, you should report your injury to your supervisor as soon as possible. Complete the appropriate item on a red paper claim form. Reach Out to an Accident Lawyer in Boston, Massachusetts.