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Form WCB-4 Discontinuance or Modification of Compensation Pursuant to 39-a M.r.s.a. 205(9)(A) - Maine
What Is Form WCB-4?
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-4?
A: Form WCB-4 is a document used in Maine to request discontinuance or modification of compensation.
Q: What does the form pertain to?
A: The form is specific to discontinuing or modifying compensation under 39-a M.R.S.A. 205(9)(A).
Q: Who can use Form WCB-4?
A: Employers or insurers can use Form WCB-4 in Maine.
Q: What is the purpose of the form?
A: The form is used to request changes to a worker's compensation benefits, such as discontinuation or modification.
Form Details:
- Released on January 28, 2019;
- 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-4 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.
