| Product |
SKU |
More Info
|
| Massachusetts Addendum To Lump Sum Agreement. Vocational Rehabilitation Status (Form 116B) |
FFMA075 |
 |
| Massachusetts Affidavit In Support Of Employee's Request For Speedy Conference Because Of Hardship |
FFMA085 |
|
| Massachusetts Affidavit In Support Of Request For Waiver Of Filing Fee Under Section 11C (Form 112A) |
FFMA090 |
|
| Massachusetts Affidavit of Employee in Application for Trust Fund Benefits (Form 170) |
FFMA095 |
|
| Massachusetts Affidavit of Exemption for Certain Corporate Officers (Form 153) |
FFMA100 |
|
| Massachusetts Affidavit of Indigence and Request for Waiver of Section 11A (2) Fees (Form 136) |
FFMA105 |
|
| Massachusetts Affidavits for Builders, Contractors, Plumbers, and Electricians |
FFMA120 |
|
| Massachusetts Affidavits for General Businesses |
FFMA125 |
|
| Massachusetts Agreement for Redeeming Liability by Lump Sum - for injuries before Nov. 1, 1986 (Form |
FFMA130 |
|
| Massachusetts Agreement for Redeeming Liability by Lump Sum - for injuries on or after Nov. 1, 1986 |
FFMA135 |
|
| Massachusetts Agreement that no Impartial Physician Report is Required (Form 121A) |
FFMA140 |
|
| Massachusetts Agreement To Extend 180 Day Payment-Without-Prejudice Period (Form 105) |
FFMA145 |
|
| Massachusetts Agreement To Pay Compensation (Form 113) |
FFMA150 |
|
| Massachusetts Amendment, Suspension or Closure of Vocational Rehabilitation Plan (Form 152) |
FFMA155 |
|
| Massachusetts Appeal Of Conference Order (Form 121) |
FFMA160 |
|
| Massachusetts Appeal To Reviewing Board (Form 112) |
FFMA165 |
|
| Massachusetts Application For Approval Of Utilization Review And Quality Assessment Program |
FFMA170 |
|
| Massachusetts Application To Serve As An Impartial Physician |
FFMA175 |
|
| Massachusetts Application to Suspend the Filing Employer's Quarterly Contribution Reports (Form L-07 |
FFMA425 |
|
| Massachusetts Average Weekly Wage Computation Schedule (Form 127) |
FFMA180 |
|
| Massachusetts Cách Thức Xin Quyền Lợi Bảo Hiểm Thất Nghiệp |
FFMA575 |
|
| Massachusetts Cách Tính Quyền Lợi Bảo Hiểm Thất Nghiệm |
FFMA580 |
|
| Massachusetts Chart - 125 Percent of Poverty Guidelines |
FFMA115 |
|
| Massachusetts Complaint of Improper Claims Handling Against an Insurer (Form 130) |
FFMA185 |
|
| Massachusetts DOR Lien Release Request Guidance |
FFMA190 |
|
| Massachusetts Employee Biographical Data form (Form 160) |
FFMA195 |
|
| Massachusetts Employee Claim Form -- With Instructions (Form 110) |
FFMA200 |
|
| Massachusetts Employee Earning Report (Form 126) |
FFMA205 |
|
| Massachusetts Employee's Hearing Memorandum - Form Revised - August 5, 2004 (Form 161) |
FFMA210 |
|
| Massachusetts Employer Change of Address Request (Form 0566) |
FFMA435 |
|
| Massachusetts Employer Consent To Lump Sum Agreement (Form 116A) |
FFMA215 |
|
| Massachusetts Employer Data Change (Form 1897) |
FFMA440 |
|
| Massachusetts Employer First Report of Injury -- With Instructions (Form 101) |
FFMA220 |
|
| Massachusetts Employer Guide to DUA Revenue Services (Form P-1919) |
FFMA450 |
|
| Massachusetts Employer Status Report (Form 1110A) |
FFMA430 |
|
| Massachusetts Employer's Guide to Workers Compensation - Cape Verdean |
FFMA045 |
|
| Massachusetts Employer's Guide to Workers Compensation - Chinese |
FFMA050 |
|
| Massachusetts Employer's Guide to Workers Compensation - English |
FFMA040 |
|
| Massachusetts Employer's Guide to Workers Compensation - Haitian Creole |
FFMA055 |
|
| Massachusetts Employer's Guide to Workers Compensation - Portuguese |
FFMA060 |
|
| Massachusetts Employer's Guide to Workers Compensation - Spanish |
FFMA065 |
|
| Massachusetts Employer's Guide to Workers Compensation - Vietnamese |
FFMA070 |
|
| Massachusetts Financing Unemployment Insurance - Options for Non-Profit or Governmental Employers (F |
FFMA460 |
|
| Massachusetts Health Care Provider Complaint Form (Form 134) |
FFMA225 |
|
| Massachusetts Health Insurance for Unemployment Insurance Claimants - Chinese |
FFMA480 |
|
| Massachusetts Health Insurance for Unemployment Insurance Claimants - Haitian Creoloe |
FFMA505 |
|
| Massachusetts Health Insurance for Unemployment Insurance Claimants PDF - Portuguese |
FFMA530 |
|
| Massachusetts Health Insurance for Unemployment Insurance Claimants PDF - Spanish |
FFMA555 |
|
| Massachusetts How Experience Rating Works (Form P1841) |
FFMA445 |
|
| Massachusetts How Your Unemployment Benefits are Determined PDF - Portuguese |
FFMA525 |
|
| Massachusetts How Your Unemployment Benefits are Determined PDF - Spanish |
FFMA550 |
|
| Massachusetts How Your Unemployment Insurance Benefits are Determined - Chinese |
FFMA490 |
|
| Massachusetts How Your Unemployment Insurance Benefits are Determined - Haitian Creole |
FFMA500 |
|
| Massachusetts Individual Written Rehabilitation Program Form (Form 151) |
FFMA230 |
|
| Massachusetts Information on Employees' Unemployment Insurance Coverage PDF - Haitian Creole |
FFMA515 |
|
| Massachusetts Information on Employees' Unemployment Insurance Coverage PDF - Portuguese |
FFMA540 |
|
| Massachusetts Information on Employees' Unemployment Insurance Coverage PDF - Spanish |
FFMA565 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Cape Verdean |
FFMA010 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Chinese |
FFMA015 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - English |
FFMA005 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Haitian Creole |
FFMA020 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Portuguese |
FFMA025 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Spanish |
FFMA030 |
|
| Massachusetts Injured Worker's Guide to Workers Compensation - Vietnamese |
FFMA035 |
|
| Massachusetts Instructions for Contribution Report (Form 1918 ) |
FFMA405 |
|
| Massachusetts Instructions- Request for Information (Form 1074W) |
FFMA470 |
|
| Massachusetts Insurance Certification Request Form |
FFMA235 |
|
| Massachusetts Insurance Coverage Posting for Employers |
FFMA240 |
|
| Massachusetts Insurance Inquiry Form |
FFMA245 |
|
| Massachusetts Insurer's Complaint For Modification, Discontinuance Or Recoupment Of Compensation (Fo |
FFMA250 |
|
| Massachusetts Insurer's Hearing Memorandum (Form 162) |
FFMA255 |
|
| Massachusetts Insurer's Notification Of Acceptance, Resumption, Termination Or Modification Of Weekl |
FFMA260 |
|
| Massachusetts Insurer's Notification Of Denial (Form 104) |
FFMA265 |
|
| Massachusetts Insurer's Notification Of Payment (Form 103) |
FFMA270 |
|
| Massachusetts Insurer's Notification Of Termination or Modification Of Weekly Compensation During Pa |
FFMA275 |
|
| Massachusetts Last Best Offer at Conference (Form141) |
FFMA280 |
|
| Massachusetts Lien Disclosure Form (Form 116C) |
FFMA285 |
|
| Massachusetts Motion For Expedited Conference New Form February 2007 (Form 125) |
FFMA295 |
|
| Massachusetts Notice Of Change/Appearance of Counsel (Form 114) |
FFMA300 |
|
| Massachusetts Notification Of Arbitration Award (Form 124A) |
FFMA305 |
|
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