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Form 101 Employer's First Report of Injury or Fatality - Massachusetts
What Is Form 101?
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 101?
A: Form 101 is the Employer's First Report of Injury or Fatality.
Q: Who needs to file Form 101?
A: Employers in Massachusetts need to file Form 101 if there is a work-related injury or fatality.
Q: What information is required on Form 101?
A: Form 101 requires information about the employer, injured worker, and details of the injury or fatality.
Q: When does Form 101 need to be filed?
A: Form 101 must be filed within 48 hours of the employer becoming aware of the injury or fatality.
Form Details:
- Released on July 1, 2010;
- 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 101 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
Download Form 101 Employer's First Report of Injury or Fatality - Massachusetts
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