Form 117 Agreement for Redeeming Liability by Lump Sum Under G.l. Ch. 152 for Injuries Occurring on or After Nov. 1, 1986 - Massachusetts

What Is Form 117?

This is a legal form that was released by the Massachusetts Department of Fire Services - 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 117 Agreement?
A: Form 117 Agreement is a document used for redeeming liability by lump sum under G.l. Ch. 152 for injuries occurring on or after Nov. 1, 1986 in Massachusetts.

Q: What is the purpose of Form 117 Agreement?
A: The purpose of Form 117 Agreement is to settle workers' compensation claims by providing a lump sum payment instead of ongoing benefits.

Q: Who is eligible to use Form 117 Agreement?
A: Both the injured worker and the employer/insurer can use Form 117 Agreement to reach a lump sum settlement.

Q: When can Form 117 Agreement be used?
A: Form 117 Agreement can be used for injuries occurring on or after Nov. 1, 1986 in Massachusetts.

Q: What is G.l. Ch. 152?
A: G.l. Ch. 152 is a Massachusetts statute that governs workers' compensation laws and benefits.

Q: What are the benefits of using Form 117 Agreement?
A: Using Form 117 Agreement allows for a lump sum payment, which can provide financial certainty and flexibility to both the injured worker and the employer/insurer.

Q: Are there any limitations to using Form 117 Agreement?
A: Yes, there are limitations such as the injured worker must have reached maximum medical improvement and the lump sum settlement must be voluntary and in the best interests of both parties.