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-420?
A: Form WCB-420 is a petition for forfeiture pursuant to 39-a 324(2) in the state of Maine.
Q: What does Form WCB-420 entail?
A: Form WCB-420 is used to request forfeiture of workers' compensation benefits in cases where an injured worker has committed fraud or other misconduct.
Q: Who can file Form WCB-420?
A: Form WCB-420 can be filed by an employer, insurance carrier, or the Maine Workers' Compensation Board.
Q: What is the purpose of filing Form WCB-420?
A: The purpose of filing Form WCB-420 is to initiate the legal process of forfeiting workers' compensation benefits due to fraudulent or misconduct by the injured worker.
Q: What should be included in Form WCB-420?
A: Form WCB-420 should include details about the fraudulent or misconduct activities of the injured worker, supporting evidence, and any other relevant information.
Q: Is there a deadline for filing Form WCB-420?
A: Yes, there is a deadline for filing Form WCB-420. It is important to consult the Maine Workers' Compensation Board or an attorney to determine the specific deadline for your case.
Q: What happens after filing Form WCB-420?
A: After filing Form WCB-420, the case will be reviewed by the Maine Workers' Compensation Board, and a decision will be made regarding the forfeiture of workers' compensation benefits.
Q: Can I appeal the decision made based on Form WCB-420?
A: Yes, you have the right to appeal the decision made based on Form WCB-420. You should consult an attorney to understand the appeal process and requirements.
Form Details:
Download a fillable version of Form WCB-420 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.