Form WCB-4M Modification of Compensation - Maine

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Form WCB-4M Modification of Compensation - Maine

What Is Form WCB-4M?

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-4M?
A: Form WCB-4M is a form used in Maine for the modification of compensation.

Q: What is the purpose of Form WCB-4M?
A: The purpose of Form WCB-4M is to request a modification to a worker's compensation claim in Maine.

Q: Who needs to fill out Form WCB-4M?
A: Employers, insurers, and injured workers in Maine may need to fill out Form WCB-4M, depending on the circumstances.

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Form Details:

  • Released on September 1, 2020;
  • 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-4M by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.

Download Form WCB-4M Modification of Compensation - Maine

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  • Form WCB-4M Modification of Compensation - Maine, Page 1
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