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This version of the form is not currently in use and is provided for reference only. Download this version of
Form WCB-4D
for the current year.
Form WCB-4D Discontinuance of Compensation - Maine
What Is Form WCB-4D?
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-4D?
A: Form WCB-4D is the Discontinuance of Compensation form in Maine.
Q: When is Form WCB-4D used?
A: Form WCB-4D is used to stop or discontinue the payment of workers' compensation benefits in Maine.
Q: Who uses Form WCB-4D?
A: Employers or insurance carriers use Form WCB-4D to request the discontinuance of workers' compensation benefits.
Q: What information is required on Form WCB-4D?
A: Form WCB-4D requires information such as the injured worker's name, employer information, reason for discontinuance, and supporting documentation.
Form Details:
- Released on March 7, 2022;
- 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-4D by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.
