[wcb] Forms Effective 4/1

[Hutchins, Deborah]

Word and Fillable PDF versions of these forms (previously sent to this list) are available on the Board's website at  WCB Forms<https://www.maine.gov/wcb/forms/index.html>.


On March 11, 2025, the Workers' Compensation Board of Directors voted to adopt changes to the forms listed below. The effective date of these forms is April 1, 2025.

WCB-8 Certificate of Discontinuance or Reduction of Compensation
WCB-11A Statement of Compensation Paid
WCB-11B Statement of Compensation Paid (with instructions)


On December 10, 2024, the Workers' Compensation Board of Directors voted to adopt changes to the forms listed below. The effective date of these forms is April 1, 2025.

WCB-2 Wage Statement
WCB-3 Memorandum of Payment
WCB-4D Discontinuance of Compensation
WCB-4M Modification of Compensation


Thank you,
Debi

Deborah McGarr Hutchins
Assistant to the Executive Director
Maine Workers' Compensation Board
Augusta Central Office
Telephone:  (207) 287-7086

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