Maine Forms
7 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
COMPLAINT FOR PENALTIES PURSUANT TO 39-A 205(3) |
WCB-400 | (eff. 2/1/17) | ||
COMPLAINT FOR PENALTIES 39-A 205(4) |
WCB-410 | (eff. 2/1/17) | ||
PETITION FOR FORFEITURE PURSUANT TO 39-A 324(2) |
WCB-420 | (eff. 2/1/17) | ||
EMPLOYMENT REHABILITATION PROVIDER APPLICATION PURSUANT TO 39-A M.R.S.A. 217 |
WCB-319 | (eff. 03/10/20) | ||
MEDICAL FEE SCHEDULE JANUARY 1, 2024 |
90-351 | EFFECTIVE: JANUARY 1, 2024 | ||
Independent Contractor Statement |
WCB-267 | (eff. 10/25/2023) | ||
MEDICAL FEE SCHEDULE OCTOBER 1, 2024 |
90-351 | EFFECTIVE: OCTOBER 1, 2024 | ||
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