Maine Workers Comp Forms

Find Maine workers compensation forms and employer help guides.

Here is a list of all the forms, applications, and manuals related to Workers' Compensation Insurance in the state of Maine. We strive to keep this up to date and accurate.

As with all of the information we provide you should always confirm with the state directory to make sure you are using the most up to date material.

If you have any questions about where to find or how to fill out one of these or any other form, please feel free to call one of our Workers' Compensation Experts at 888-611-7467.

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Maine Workers Compensation Insurance Forms

Maine Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers comp coverage in Maine.

Maine First Report of Injury Form.

Maine First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Maine Application for Exclusion of Officers and Stockholders.

Complete this form if you are a sole-proprietor, partnership or an officer of a corporation and would like to be exempt from coverage.

Maine Application for Exemption for Workers' Compensation Insurance

Complete this form to file a claim for workers' compensation.

Application for Waiver Instructions

This document contains instructions for completing the Application for Waiver.

Employer Employee Agreement

Complete this document when an agreed settlement has been reached between the employee and employer in the case of permanent impairment.

Forms and Petitions Manual

A comprehensive collection of workers compensation forms and instructions for the state of Maine.

Rules and Regulations

A comprehensive collection of workers compensation rules and regulations for the state of Maine.

State Resources for Maine

Maine Bureau of Insurance

Consumer Services Division
34 State House Station
Augusta, ME 04333-0034
800-300-5000
www.state.me.us/pfr/insurance/

Maine Workers' Comp Board

27 State House Station Map It
Augusta, ME 04333-0027
888-801-9087
www.maine.gov/wcb/

Workers compensation insurance is required by law for Maine employers.

Maine forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Maine.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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