Form 154 Verification of Massachusetts Workers' Compensation Coverage for out of State Employers Operating in Massachusetts - Massachusetts

What Is Form 154?

This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 154?
A: Form 154 is a verification form for Massachusetts Workers' Compensation Coverage for out of State Employers Operating in Massachusetts.

Q: Who needs to use Form 154?
A: Out of State Employers Operating in Massachusetts need to use Form 154 to verify their Workers' Compensation Coverage.

Q: What is the purpose of Form 154?
A: The purpose of Form 154 is to verify that out of State Employers operating in Massachusetts have proper Workers' Compensation Coverage.

Q: How do I fill out Form 154?
A: You need to provide the required information in the designated fields on Form 154.

Q: What information is required on Form 154?
A: Form 154 requires information such as the Employer's Name, Address, Federal Employer Identification Number, Workers' Compensation Insurance Carrier, Policy Number, and Effective Dates.

Q: Do out of State Employers need Workers' Compensation Coverage in Massachusetts?
A: Yes, out of State Employers operating in Massachusetts are required to have Workers' Compensation Coverage.

Q: What happens if an out of State Employer does not have Workers' Compensation Coverage in Massachusetts?
A: If an out of State Employer does not have proper Workers' Compensation Coverage in Massachusetts, they may face penalties and legal consequences.

Q: Is Form 154 mandatory?
A: Yes, Form 154 is mandatory for out of State Employers operating in Massachusetts to verify their Workers' Compensation Coverage.