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CERTIFICATE OF
DISCONTINUANCE OR REDUCTION OF COMPENSATION
PURSUANT TO 39A M.R.S.A. 205(9)(B)(1)
STATE OF MAINE
WORKERS\' COMPENSATION BOARD
27 STATE HOUSE STATION, AUGUSTA, MAINE 043330027
1. INSURER
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How to fill out discontinuance or reduction of

How to fill out discontinuance or reduction of:
01
Start by obtaining the necessary form. You can usually find the discontinuance or reduction form on the website of the relevant government agency or by visiting their office in person.
02
Carefully read the instructions provided with the form. Make sure you understand the eligibility criteria and requirements for discontinuance or reduction.
03
Fill out your personal information accurately. This may include your full name, address, contact details, and any identification numbers or reference numbers required.
04
Specify the reason for discontinuance or reduction. Provide details of why you are seeking this action and any supporting documents or evidence that may be required. It is important to be honest and thorough in explaining your situation.
05
If applicable, include any additional information or supporting documents that may strengthen your case. This can include financial statements, medical records, or any other relevant documentation that supports your request.
06
Review the completed form to ensure all sections are properly filled out and there are no errors or omissions. Double-check that you have attached all the necessary supporting documents.
07
Sign and date the form where required. Be sure to read any statements or declarations carefully before signing to understand the legal implications of your submission.
08
Submit the completed form and all supporting documents as instructed. This may involve mailing the form, submitting it online, or delivering it in person to the relevant office.
Who needs discontinuance or reduction of:
01
Individuals who are facing financial hardship and need to reduce or discontinue payments for a specific service or program may require discontinuance or reduction.
02
People who have experienced a change in their circumstances that make it necessary to request discontinuance or reduction. For example, a medical condition or loss of employment may warrant reducing or discontinuing certain financial obligations.
03
Individuals who have completed or achieved the goal for which they were making payments or participating in a program may need discontinuance or reduction. This can be applicable to educational programs, insurance coverage, or subscription services.
It is important to note that the specific eligibility criteria and processes for discontinuance or reduction may vary depending on the particular service, program, or government agency involved. Therefore, it is always recommended to refer to the instructions provided with the relevant form and contact the appropriate authority for any further clarification.
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