Form WCB-4A Consent Between Employer and Employee - Maine

What Is Form WCB-4A?

This is a legal form that was released by the Maine Workers' Compensation Board - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on April 11, 2023;
• The latest edition provided by the Maine Workers' Compensation Board;
• 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 WCB-4A by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.