Form 115 Third Party Claim / Notice of Lien - Massachusetts

Form 115 Third Party Claim / Notice of Lien - Massachusetts

What Is Form 115?

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 115?
A: Form 115 is the Third Party Claim/Notice of Lien form used in Massachusetts.

Q: Who uses Form 115?
A: Form 115 is used by individuals or businesses to assert a claim for payment against funds held by a public employer.

Q: What is a Third Party Claim?
A: A Third Party Claim is a legal process by which a person or organization asserts a right to funds being held by a public employer on behalf of another party.

Q: What is a Notice of Lien?
A: A Notice of Lien is a document that puts others on notice that a creditor has a legal claim to a debtor's property, usually for unpaid debts.

Q: Why would someone file a Form 115?
A: Someone may file a Form 115 to assert a claim for payment against funds held by a public employer, such as for unpaid wages, services, or materials provided.

Q: Are there any fees associated with filing Form 115?
A: No, there are no fees associated with filing Form 115.

Q: What is the deadline for filing Form 115?
A: The deadline for filing Form 115 is generally within 90 days from the date of the public employer's payment of the owed funds.

Q: What happens after filing Form 115?
A: After filing Form 115, the public employer will review the claim and make a determination regarding the validity of the claim.

Q: What if my claim is denied?
A: If your claim is denied, you may have the right to appeal the decision to the Massachusetts Division of Hearings.

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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 115 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.

Download Form 115 Third Party Claim / Notice of Lien - Massachusetts

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