Form preview

Get the free DISCONTINUANCE OR MODIFICATION. WCB 4

Get Form
DISCONTINUANCE OF COMPENSATION 1. REVISION DATE: / / MM DD YYYYSTATE OF MAINE WORKERS COMPENSATION BOARD 27 STATE HOUSE STATION, AUGUSTA, MAINE 0433300272. WEB FILE NUMBER (if known):EMPLOYEE 3. EMPLOYEE
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign discontinuance or modification wcb

Edit
Edit your discontinuance or modification wcb form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your discontinuance or modification wcb form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit discontinuance or modification wcb online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit discontinuance or modification wcb. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out discontinuance or modification wcb

Illustration

How to fill out discontinuance or modification wcb

01
To fill out a discontinuance or modification WCB, follow these steps:
02
Gather all necessary information and documentation related to the case, including claim number, dates of injury, and medical reports.
03
Create an account on the WCB online portal or obtain the relevant forms from the nearest WCB office.
04
Fill out the forms accurately and completely, providing detailed explanations and supporting documents where required.
05
Attach all relevant medical records, including any new or updated information regarding the injury or disability.
06
Review the completed forms to ensure accuracy and completeness.
07
Submit the forms either online or by mail, depending on the submission options provided by WCB.
08
Keep a copy of the submitted forms and any receipts or confirmation of submission for future reference and tracking.
09
Follow up with the WCB periodically for updates on the status of the discontinuance or modification request.
10
Note: It is recommended to consult with a legal professional or WCB representative for specific guidance and advice during the process.

Who needs discontinuance or modification wcb?

01
Discontinuance or modification of WCB (Workers' Compensation Board) may be needed by:
02
- Injured workers or employees who have experienced changes in their medical condition or ability to work, and require an adjustment in their benefits or compensation.
03
- Employers or insurance carriers who have new evidence or information relevant to a workers' compensation claim and wish to request a modification or discontinuance of benefits.
04
It is important to note that the specific requirements and procedures for discontinuance or modification of WCB may vary depending on the jurisdiction or state. Therefore, it is advisable to consult with local WCB authorities or legal professionals for accurate and up-to-date information.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
56 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You can quickly improve your document management and form preparation by integrating pdfFiller with Google Docs so that you can create, edit and sign documents directly from your Google Drive. The add-on enables you to transform your discontinuance or modification wcb into a dynamic fillable form that you can manage and eSign from any internet-connected device.
pdfFiller has made filling out and eSigning discontinuance or modification wcb easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.
You can do so easily with pdfFiller’s applications for iOS and Android devices, which can be found at the Apple Store and Google Play Store, respectively. Alternatively, you can get the app on our web page: https://edit-pdf-ios-android.pdffiller.com/. Install the application, log in, and start editing discontinuance or modification wcb right away.
Discontinuance or Modification WCB refers to the process of ending or changing a workers' compensation claim.
Employers or insurance carriers are typically responsible for filing discontinuance or modification WCB forms.
Discontinuance or modification WCB forms can usually be filled out online or by mail, following the instructions provided by the workers' compensation board.
The purpose of discontinuance or modification WCB is to officially close or adjust a workers' compensation claim based on changes in the injured worker's status.
Discontinuance or modification WCB forms typically require details about the injured worker, the employer, the injury, and the status of the claim.
Fill out your discontinuance or modification wcb online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.