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MODIFICATION OF COMPENSATION 1. REVISION DATE:2. WEB FILE NUMBER (if known):STATE OF MAINE WORKERS\' COMPENSATION BOARD 27 STATE HOUSE STATION, AUGUSTA, MAINE 043330027___/___/___ MM DD YYYYEMPLOYEE
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Formsjustiacommaineworkers-compensationjustia discontinuance or modification is a document used to request the termination or changes to workers' compensation benefits.
Employers or insurance companies may be required to file formsjustiacommaineworkers-compensationjustia discontinuance or modification.
To fill out formsjustiacommaineworkers-compensationjustia discontinuance or modification, you need to provide details about the employee, the reasons for discontinuance or modification, and any supporting documents.
The purpose of formsjustiacommaineworkers-compensationjustia discontinuance or modification is to formally request changes to workers' compensation benefits.
Formsjustiacommaineworkers-compensationjustia discontinuance or modification may require information such as employee details, reasons for changes, and any supporting documentation.
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