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NOTICE OF INTENT TO APPEAL STATE OF MAINE WORKERS' COMPENSATION BOARD APPELLATE DIVISION 62 ELM STREET PORTLAND, MAINE 04101-6858 CASE NAME: WEB FILE# or AIU CASE#: ISSUANCE DATE OF DECISION: MAIL

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What is form wcb-240 - mainegov?

Form WCB-240 is a form used for reporting work-related injuries and illnesses to the Workers' Compensation Board (WCB) in Maine.

Who is required to file form wcb-240 - mainegov?

Employers in Maine are required to file form WCB-240 for any work-related injuries or illnesses that result in lost work time or medical treatment beyond first aid.

How to fill out form wcb-240 - mainegov?

The form WCB-240 can be filled out online through the official website of the Maine government. The form requires information about the injured employee, their employer, the nature of the injury or illness, and any medical treatment received.

What is the purpose of form wcb-240 - mainegov?

The purpose of form WCB-240 is to provide the Workers' Compensation Board with information about work-related injuries and illnesses in order to process claims and ensure appropriate compensation for affected employees.

What information must be reported on form wcb-240 - mainegov?

The form WCB-240 requires information about the injured employee, such as their name, address, and Social Security number. It also requires details about the employer, the date of the injury or illness, the location where it occurred, and a description of the incident.

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