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Form 105 is an Agreement to Extend the 180 Day Payment Without Prejudice Period (PWOP). It is usually sent to the injured worker during the 3rd to 5th month of disability following a work injury.These voluntary payments are made without prejudice for the first 180 days following an injury. The first 180 days after your work-related injury are considered a pay without prejudice period. This form extends the Pay Without Prejudice Period from 180 days to 360 days. The period of the first 180 days after you are injured in Massachusetts is a "pay without prejudice" period. You should not sign an Agreement to Extend 180 Day Payment Without Prejudice Form without speaking with an attorney first. By signing this form you agree to extend the PWOP period for an additional 180 days. This is good for them, but bad for you. EXTENSION OF PAY WITHOUT PREJUDICE PERIOD.