This version of the form is not currently in use and is provided for reference only. Download this version of Form WCB-4M for the current year.
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.
Q: What is Form WCB-4M?
A: Form WCB-4M is the form used to request a modification of compensation in the state of Maine.
Q: When should I use Form WCB-4M?
A: You should use Form WCB-4M if you need to request a modification of your workers' compensation benefits in Maine.
Q: How do I fill out Form WCB-4M?
A: You should fill out all the required information on Form WCB-4M, including details about your injury and the requested modification of benefits.
Form Details:
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.