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.
Q: What is Form WCB-180?
A: Form WCB-180 is the Petition to Determine Extent of Permanent Impairment in Maine.
Q: When is Form WCB-180 used?
A: Form WCB-180 is used to request a determination of the extent of permanent impairment for a work-related injury or illness in Maine.
Q: Who can file Form WCB-180?
A: The injured worker, their employer, or an attorney representing the injured worker can file Form WCB-180.
Q: What information is required on Form WCB-180?
A: Form WCB-180 requires information about the injured worker, the employer, the nature of the injury, and medical documentation.
Q: What is the purpose of Form WCB-180?
A: The purpose of Form WCB-180 is to initiate a process to determine the extent of permanent impairment resulting from a work-related injury or illness.
Q: What happens after I file Form WCB-180?
A: After filing Form WCB-180, a hearing may be scheduled to evaluate the evidence and make a determination of the extent of permanent impairment.
Q: Can I get assistance in filling out Form WCB-180?
A: Yes, you can seek assistance from an attorney or the Maine Workers' Compensation Board in filling out Form WCB-180.
Q: What is the deadline for filing Form WCB-180?
A: The deadline for filing Form WCB-180 is typically within the Maine workers' compensation statute of limitations.
Form Details:
Download a fillable version of Form WCB-180 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.