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Form 109 Notification of Withdrawal of Claim or Complaint - Massachusetts
What Is Form 109?
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 109?
A: Form 109 is the Notification of Withdrawal of Claim or Complaint.
Q: What is the purpose of Form 109?
A: The purpose of Form 109 is to notify the Massachusetts Department of Industrial Accidents about the withdrawal of a claim or complaint.
Q: Who should use Form 109?
A: Anyone who wishes to withdraw a claim or complaint filed with the Massachusetts Department of Industrial Accidents should use Form 109.
Q: Is there a fee for filing Form 109?
A: No, there is no fee for filing Form 109.
Q: Are there any specific instructions for filling out Form 109?
A: Yes, there are specific instructions provided on the form itself. It is important to follow these instructions carefully to ensure proper filing.
Form Details:
- Released on July 1, 2019;
- 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 109 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
