Form WCB-400 Complaint for Penalties Pursuant to 39-a 205(3) - Maine

Form WCB-400 Complaint for Penalties Pursuant to 39-a 205(3) - Maine

What Is Form WCB-400?

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-400?
A: Form WCB-400 is a complaint form used to request penalties pursuant to 39-a 205(3) in the state of Maine.

Q: What does Form WCB-400 complaint for penalties refer to?
A: Form WCB-400 is used to file a complaint seeking penalties under section 39-a 205(3) of the Maine Workers' Compensation Act.

Q: When should I use Form WCB-400?
A: You should use Form WCB-400 when you want to request penalties for violation of specific provisions under the Maine Workers' Compensation Act.

Q: How do I fill out Form WCB-400?
A: To fill out Form WCB-400, provide your personal and contact information, describe the nature of the violation, and provide any supporting documents or evidence.

Q: What happens after I submit Form WCB-400?
A: After submitting Form WCB-400, the complaint will be reviewed by the Maine Workers' Compensation Board, and appropriate action will be taken.

Q: Can I file a complaint anonymously using Form WCB-400?
A: No, you cannot file a complaint anonymously using Form WCB-400. You are required to provide your personal information when submitting the form.

Q: Are there any fees associated with filing Form WCB-400?
A: No, there are no fees associated with filing Form WCB-400.

Q: Can I obtain legal representation for filing Form WCB-400?
A: Yes, you have the right to obtain legal representation when filing Form WCB-400.

Q: Can I appeal the decision made by the Maine Workers' Compensation Board regarding my Form WCB-400?
A: Yes, if you disagree with the decision made by the Maine Workers' Compensation Board, you have the right to appeal the decision.

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Form Details:

  • Released on February 1, 2017;
  • 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-400 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.

Download Form WCB-400 Complaint for Penalties Pursuant to 39-a 205(3) - Maine

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