Form 170 Affidavit of Employee in Application for Trust Fund Benefits - Massachusetts

What Is Form 170?

This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on July 1, 2019;
• The latest edition provided by the Massachusetts Department of Industrial Accidents;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form 170 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.