Massachusetts Department of Industrial Accidents Forms

The Massachusetts Department of Industrial Accidents (DIA) is responsible for administering and enforcing the workers' compensation laws in Massachusetts. It provides various services related to workers' compensation, including processing claims, resolving disputes between injured employees and employers or insurance companies, conducting hearings and conferences, and ensuring compliance with workers' compensation laws and regulations. The DIA aims to protect the rights of employees, provide benefits to injured workers, and promote workplace safety.

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Documents:

97

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This form is used for individuals in Massachusetts to declare their eligibility to serve on the roster of impartial physicians.

This document is a referral for a mandatory meeting in the state of Massachusetts.

This document is a request for a Dia file in Massachusetts. It is used for accessing specific information or documents related to a particular case or scenario in the state.

This Form is used for insurers in Massachusetts to request certification.

This document is used for appealing the cancellation or termination of a policy in Massachusetts, specifically under Mgl SEC. 65b. It provides a process for individuals to challenge the decision made by an insurance company to cancel or terminate their policy.

This Form is used for notifying employees in Massachusetts who are of Cape Verdean descent.

This document is a notice to employees in Massachusetts that is written in Portuguese. It provides important information and updates that employees need to be aware of.

This document is a notice specifically for employees in Massachusetts who speak Khmer. It likely contains important information or updates about employment laws, rights, or policies.

This type of document is a notice that is intended for employees in Massachusetts who speak Arabic. It likely contains important information or updates related to employment.

This document provides a notice to employees in Massachusetts in the Vietnamese language. It contains important information for employees regarding their rights and responsibilities in the workplace.

This document is a quarterly report for closed cases from a provider in Massachusetts. It covers Return to Work (RTW) initiatives.

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