Toll Free Number Toll-Free 1-800-745-9970 | Chat Live Chat
Login
| My Account | Your Wishlist | [+] Page feedback|
Search:  
Rg
Shopping Cart
Free Shipping     (0)
180 Day Returns

Browse Categories

Industry Solutions

Business Services

Customer Support

Peace of Mind
Top 5 reasons why you should choose LaborLawCenter™.
Get it Fast
Free UPS Ground Shipping on all orders over $50.
Order Forms
Ordering can be done online, by phone, fax or mail.
Stay current with the most up-to-date information by subscribing to the LaborLawCenter™ newsletter!
 
Maryland Request for Document Correction
SKU: FFMD205 |   E-mail this product to a friend
Share: 
This product is offered FREE from LaborLawCenter™
Options:
Quantity: 
Reminder: After you have selected your free form(s) and added it to your cart, you are to complete the checkout process. You will not be charged for the form(s). Upon completion of the checkout process, you will be sent an email with a link to download your free form(s). For more information click here.
 
 
Product Description

This form is to be used by a party ONLY to notify the Commission that an undisputed factual error in a document that has been filed in a specific workers' compensation claim. The mistake may be an error in the document as originally submitted, or may be due to human error or technological error. Any party identifying an error on a document in the Commission's files (paper or electronic) should complete this form and submit it to the Commission for consideration. The form should be submitted without a cover letter. For example, if all parties agree that the Date of Accident as originally submitted on a claim form is incorrect this form may be used to obtain a correction in the Commission's records. If however, a factual dispute exists with respect to the Date of Accident and the party originally submitting the information believes it is factually accurate, the matter should not be categorized as a document correction. The dispute should be resolved at a hearing together with other matters upon which the parties do not agree.
 
Related Products


Maryland Labor Law Posters
Maryland Labor Law Posters
$29.95		 Maryland State Labor Law Posters
Maryland State Labor Law Poster
$21.95		 Federal Labor Law Posters
Federal Labor Law Poster
$9.95
1 Year Compliance Protection Plan
1 Year Compliance Protection Plan™
$54.95		 OSHA Safety Communication Poster
OSHA Safety Communication Poster
$24.95
$18.71		 Federal Forklift Posters
Federal Forklift Posters
$17.99
$13.49
Choking Poster
Choking Poster
$14.95
$11.21		    
 
SATISFACTION GUARANTEE
LaborLawCenter™ stands behind
our products through our 180-Day
Satisfaction Guarantee. For
assistance, contact us
at 1-800-745-9970.




Connect with LaborLawCenter™ on
Facebook, Twitter, LinkedIn & Google+
 
McAfee Secure sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams 90 Days Shipping Work Green

CALL US TOLL FREE

800-745-9970

s
s