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Get the free Department of Industrial Accidents Forms - Mass.gov

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The Commonwealth of Massachusetts Department of Industrial Accidents FORM MUST BE FILLED Office of Investigations OUT COMPLETELY 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers Compensation
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How to fill out department of industrial accidents

01
Obtain the necessary forms from the Department of Industrial Accidents.
02
Fill out all required information on the forms, including personal details and details of the accident.
03
Submit the completed forms to the Department of Industrial Accidents either in person or by mail.
04
Keep a copy of the forms for your records in case they are needed for any future reference.

Who needs department of industrial accidents?

01
Employees who have been injured on the job and are seeking compensation for medical expenses and lost wages.
02
Employers who need to report workplace accidents to comply with regulations and ensure workers are properly compensated.
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Department of Industrial Accidents (DIA) is a government agency responsible for overseeing and regulating workplace safety and workers' compensation in Massachusetts.
Employers in Massachusetts who have employees working for them are required to file department of industrial accidents.
Employers can fill out department of industrial accidents online through the DIA's website or by submitting a paper form to the DIA.
The purpose of the department of industrial accidents is to ensure that employees are provided with a safe working environment and to provide compensation to workers who are injured on the job.
Employers must report information such as the employee's name, date of birth, nature of injury, date of injury, and details of the accident.
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