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Form 117A Lump Sum Settlement Agreement for Injuries Before 11 / 1 / 1986 - Massachusetts
What Is Form 117A?
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 a Form 117A?
A: Form 117A is a Lump SumSettlement Agreement for injuries that occurred before November 1, 1986.
Q: Who is eligible to use Form 117A?
A: Individuals who sustained injuries before November 1, 1986 in Massachusetts are eligible to use Form 117A.
Q: What is the purpose of Form 117A?
A: The purpose of Form 117A is to facilitate the settlement of injury claims that occurred before November 1, 1986.
Q: Can I use Form 117A for injuries that occurred after November 1, 1986?
A: No, Form 117A is specifically for injuries that occurred before November 1, 1986.
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 117A by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
Download Form 117A Lump Sum Settlement Agreement for Injuries Before 11 / 1 / 1986 - Massachusetts
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