This is one of the official Workers' Compensation forms for the state of Maine.
Maine Petition to Determine Impairment for Workers' Compensation
State:
Maine
Control #:
ME-WCB-180-WC
Format:
PDF
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FAQ
First Aid Treatment is Usually Not Enough. Injuries Outside the Office Are Covered. Injuries Outside the Scope of Employment. Cumulative Events and Injuries. Mental Health Conditions.
Reporting the injury. filing the actual claim with your employer, and. filing an application for adjudication of claim with the Workers' Compensation Appeals Board (WCAB).
Reporting the injury. filing the actual claim with your employer, and. filing an application for adjudication of claim with the Workers' Compensation Appeals Board (WCAB).
Workers who hired lawyers tended to have longer workers' compensation cases than those who didn't. On average, cases resolved in 17.9 months for workers with lawyers, compared to 12.2 months for workers without lawyers.
State your name, date of birth, social security number, and date of injury at the very beginning of your letter. Explicitly state that you were on-the-job and that you were injured while performing your duties. Elaborate on the tasks you were performing at the time of your injury. Include as many details as you can.
As a general rule of thumb, you should never discuss anything except the basic facts of the accident, including where it occurred, the date and time it occurred, what type of accident it was, and which body parts were injured.
All injuries, no matter how minor, must be reported within 24 hours of the injury.It must be reported to our workers' compensation department in case the injury becomes worse and needs medical attention in the future. That way, the reporting of the injury will not be considered late by the state.
With a compromise and release, you are agreeing to close out your workers' comp case for good in exchange for a lump sum payment.A compromise and release is final. As long as you signed the agreement voluntarily, workers' comp judges usually won't let you take it backeven if you end up needing more money later.
A worker is disqualified where the injury: (1) is caused by the worker's own intoxication (alcohol or other controlled substance as defined by the Health and Safety Code; (2) is intentionally self-inflicted; (3) occurs out of an altercation (mutual combat) where the claimant was the initial physical aggressor; (4)