Form WCB-150 Petition for Award of Compensation - Fatal - Maine

Form WCB-150 Petition for Award of Compensation - Fatal - Maine

What Is Form WCB-150?

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.

FAQ

Q: What is Form WCB-150?
A: Form WCB-150 is a document used to file a Petition for Award of Compensation for a fatal work-related injury in Maine.

Q: Who can file a Form WCB-150?
A: The surviving dependents of an employee who died due to a work-related injury can file a Form WCB-150.

Q: What is the purpose of filing a Form WCB-150?
A: The purpose of filing a Form WCB-150 is to seek compensation for the death of a loved one resulting from a work-related injury.

Q: What information is required on a Form WCB-150?
A: Form WCB-150 requires information about the deceased employee, the dependents filing the petition, and details about the work-related injury and death.

Q: When should I file a Form WCB-150?
A: A Form WCB-150 should be filed as soon as possible after the death of the employee to initiate the process for seeking compensation.

Q: Is there a deadline for filing a Form WCB-150?
A: Yes, there is a deadline. The petition must be filed within two years from the date of the employee's death.

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Form Details:

  • Released on January 1, 2013;
  • 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-150 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.

Download Form WCB-150 Petition for Award of Compensation - Fatal - Maine

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