Form 107 Insurer's Notification of Acceptance, Resumption, Termination or Modification of Weekly Compensation - Massachusetts

What Is Form 107?

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 107?
A: Form 107 is the Insurer's Notification of Acceptance, Resumption, Termination or Modification of Weekly Compensation form used in Massachusetts.

Q: Who uses Form 107?
A: Insurers use Form 107 to notify the Massachusetts Department of Industrial Accidents about the acceptance, resumption, termination, or modification of weekly compensation.

Q: What is the purpose of Form 107?
A: The purpose of Form 107 is to provide official notification to the Department of Industrial Accidents regarding changes in an injured worker's weekly compensation status.

Q: When should Form 107 be used?
A: Form 107 should be used whenever there is a change in an injured worker's weekly compensation status, including acceptance, resumption, termination, or modification.

Q: Is Form 107 required by law?
A: Yes, Form 107 is required by law in Massachusetts.

Q: What information is required on Form 107?
A: Form 107 requires information about the injured worker, the insurer, the employer, and details about the acceptance, resumption, termination, or modification of weekly compensation.

Q: What are the consequences of not submitting Form 107?
A: Failure to timely submit Form 107 may result in penalties and fines imposed by the Department of Industrial Accidents.

Q: Are there any fees associated with Form 107?
A: No, there are no fees associated with filing Form 107.