Form 113 Agreement to Pay Compensation - Massachusetts

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Form 113 Agreement to Pay Compensation - Massachusetts

What Is Form 113?

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 113 Agreement to Pay Compensation?
A: Form 113 Agreement to Pay Compensation is a legal document used in Massachusetts to establish an agreement between an employer and an injured worker for payment of compensation.

Q: Who uses Form 113 Agreement to Pay Compensation?
A: Form 113 Agreement to Pay Compensation is used by employers in Massachusetts and injured workers who have reached an agreement on the payment of compensation.

Q: What does Form 113 Agreement to Pay Compensation do?
A: Form 113 Agreement to Pay Compensation establishes the terms and conditions for the payment of compensation to an injured worker in Massachusetts.

Q: Do I need a lawyer to fill out Form 113 Agreement to Pay Compensation?
A: While not required, it is advised to consult with a lawyer when filling out Form 113 Agreement to Pay Compensation to ensure your rights are protected.

Q: What happens after I submit Form 113 Agreement to Pay Compensation?
A: After submitting Form 113 Agreement to Pay Compensation, the Massachusetts Department of Industrial Accidents will review the agreement and may approve the payment of compensation.

Q: Can the terms of Form 113 Agreement to Pay Compensation be modified?
A: Yes, the terms of Form 113 Agreement to Pay Compensation can be modified if agreed upon by both parties and approved by the Massachusetts Department of Industrial Accidents.

Q: Is Form 113 Agreement to Pay Compensation confidential?
A: Yes, Form 113 Agreement to Pay Compensation is confidential and should not be disclosed to anyone other than the parties involved and their legal representatives.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Massachusetts Department of Industrial Accidents;
  • 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 113 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.

Download Form 113 Agreement to Pay Compensation - Massachusetts

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