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Form WCB-140 Petition for Award of Compensation - Maine PDF DOCX

Form WCB-140 Petition for Award of Compensation - Maine
United States Legal Forms Workers Compensation Claim Form Workers Compensation Forms Maine Legal Forms Legal
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Form WCB-170 Petition for Restoration - Maine PDF DOCX

Form WCB-170 Petition for Restoration - Maine
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Form WCB-171 Petition for Reinstatement - Maine PDF DOCX

Form WCB-171 Petition for Reinstatement - Maine
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Form WCB-206 Employee Expense Form - Maine PDF DOCX

Form WCB-206 Employee Expense Form - Maine
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Form WCB-320 Application for Evaluation Employment Rehabilitation Services Pursuant to 39-a M.r.s.a. 217(1) - Maine PDF DOCX

Form WCB-320 Application for Evaluation Employment Rehabilitation Services Pursuant to 39-a M.r.s.a. 217(1) - Maine
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Form WCB-220 General Release of Medical/Health Care Information - Maine PDF DOCX

Form WCB-220 General Release of Medical/Health Care Information - Maine
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Form WCB-220-A Limited Release of Protected Medical/Health Care Information Related to Psychological Matters - Maine PDF DOCX

Form WCB-220-A Limited Release of Protected Medical/Health Care Information Related to Psychological Matters - Maine
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Form WCB-220-B Release of Protected Medical/Health Care Information Related to Substance Use Disorder - Maine PDF DOCX

Form WCB-220-B Release of Protected Medical/Health Care Information Related to Substance Use Disorder - Maine
Health Care Form Privacy Protection Substance Abuse Substance Use Disorder Patient Rights Consent for Disclosure Maine Legal Forms United States Legal Forms Legal
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Form WCB-220-C Limited Release of Medical/Health Care Information Related to HIV/AIDS and Sexually Transmitted Diseases - Maine PDF DOCX

Form WCB-220-C Limited Release of Medical/Health Care Information Related to HIV/AIDS and Sexually Transmitted Diseases - Maine
Limited Release Sexually Transmitted Diseases United States Legal Forms Maine Legal Forms Legal
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Form WCB-220-R Revocation of Release of Protected Medical/Health Care Information - Maine PDF DOCX

Form WCB-220-R Revocation of Release of Protected Medical/Health Care Information - Maine
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Form M-1 Diagnostic Medical Report - Maine PDF DOCX

Form M-1 Diagnostic Medical Report - Maine
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Form WCB-4M Modification of Compensation - Maine PDF DOCX

Form WCB-4M Modification of Compensation - Maine
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Form WCB-4D Discontinuance of Compensation - Maine PDF DOCX

Form WCB-4D Discontinuance of Compensation - Maine
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Form WCB-9 Notice of Controversy This Is a Denial of Your Benefits - Maine PDF DOCX

Form WCB-9 Notice of Controversy This Is a Denial of Your Benefits - Maine
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Form WCB-4A Consent Between Employer and Employee - Maine PDF DOCX

Form WCB-4A Consent Between Employer and Employee - Maine
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Form WCB-11 Statement of Compensation Paid - Maine PDF DOCX

Form WCB-11 Statement of Compensation Paid - Maine
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Form WCB-3 Memorandum of Payment - Maine PDF DOCX

Form WCB-3 Memorandum of Payment - Maine
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Form WCB-8 Certificate of Discontinuance or Reduction of Compensation Pursuant to 39-a M.r.s.a. 205(9)(B)(1) - Maine PDF DOCX

Form WCB-8 Certificate of Discontinuance or Reduction of Compensation Pursuant to 39-a M.r.s.a. 205(9)(B)(1) - Maine
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Form WCB-250 Request for Expedited Proceeding - Maine PDF DOCX

Form WCB-250 Request for Expedited Proceeding - Maine
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Form WCB-267 Independent Contractor Statement - Maine PDF DOCX

Form WCB-267 Independent Contractor Statement - Maine
Legal United States Legal Forms Maine Legal Forms
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