PETITION FOR REVIEW OF EXTENDED BENEFITS AWARDED DUE TO EXTREME FINANCIAL HARDSHIP PURSUANT TO 39-A M.R.S.A. §213(1)(B) Forms
| Form Name | PETITION FOR REVIEW OF EXTENDED BENEFITS AWARDED DUE TO EXTREME FINANCIAL HARDSHIP PURSUANT TO 39-A M.R.S.A. §213(1)(B) |
| Form # | WCB-213A |
| Form Revision | (eff. 1/1/13) |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Maine |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |