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This version of the form is not currently in use and is provided for reference only. Download this version of
Form WCB-171
for the current year.
Form WCB-171 Petition for Reinstatement - Maine
What Is Form WCB-171?
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-171?
A: Form WCB-171 is a petition for reinstatement in the state of Maine.
Q: What is the purpose of Form WCB-171?
A: The purpose of Form WCB-171 is to request reinstatement of workers' compensation benefits.
Q: Who can file Form WCB-171?
A: Only the injured worker or their representative can file Form WCB-171.
Q: What information is required on Form WCB-171?
A: Form WCB-171 requires information such as the injured worker's name, address, date of injury, employer information, and reason for requesting reinstatement.
Q: Are there any fees associated with filing Form WCB-171?
A: No, there are no fees associated with filing Form WCB-171.
Q: What should I do after completing Form WCB-171?
A: After completing Form WCB-171, you should mail or deliver the form to the Maine Workers' Compensation Board.
Q: How long does it take to process Form WCB-171?
A: The processing time for Form WCB-171 may vary, but you will receive a response from the Board regarding your petition.
Q: Can I appeal if my petition is denied?
A: Yes, if your petition is denied, you have the right to appeal the decision.
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-171 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.
