You will need to download and complete Form 110 – Employee Claim. The Department of Industrial Accidents (DIA) only accepts online filing of Form 101.Learn how to complete the form online. When you speak to your boss, you may ask to fill out a work injury incident report. Date it and make a copy for yourself. Our personal injury team will work hard to accommodate your schedule. To get started, simply fill out the form to the right. Have you or a loved one been injured in a Framingham, MA, car accident? You should speak with our experienced Framingham Car Accident Lawyers. We understand that these injuries are painful, and we are here to help you get back on your feet and experience pain relief.