Form CR-28 Workers' Compensation Cola Data Form - Massachusetts

Form CR-28 Workers' Compensation Cola Data Form - Massachusetts

What Is Form CR-28?

This is a legal form that was released by the Massachusetts Department of Labor Relations - 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 the CR-28 Workers' Compensation Cola Data Form?
A: The CR-28 is a form used to gather information on cost of living adjustments (COLA) related to workers' compensation in Massachusetts.

Q: Who is required to file the CR-28 form?
A: Insurance companies and self-insured employers are required to file the CR-28 form in Massachusetts.

Q: What information does the CR-28 form collect?
A: The form collects data on total payments made for workers' compensation claims, average weekly wages, and the percentage change in the Consumer Price Index (CPI) for the relevant year.

Q: How often is the CR-28 form filed?
A: The CR-28 form is typically filed annually in Massachusetts.

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Form Details:

  • The latest edition provided by the Massachusetts Department of Labor Relations;
  • 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 CR-28 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Labor Relations.

Download Form CR-28 Workers' Compensation Cola Data Form - Massachusetts

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  • Form CR-28 Workers Compensation Cola Data Form - Massachusetts, Page 1
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