Form 117 Lump Sum Settlement Agreement for Injuries on or After 11 / 1 / 1986 - Massachusetts

Form 117 Lump Sum Settlement Agreement for Injuries on or After 11 / 1 / 1986 - Massachusetts

What Is Form 117?

This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2019;
  • The latest edition provided by the Massachusetts Department of Industrial Accidents;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 117 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.

ADVERTISEMENT

Other Revision

Download Form 117 Lump Sum Settlement Agreement for Injuries on or After 11 / 1 / 1986 - Massachusetts

4.7 of 5 (89 votes)
  • Form 117 Lump Sum Settlement Agreement for Injuries on or After 11/1/1986 - Massachusetts

    1

  • Form 117 Lump Sum Settlement Agreement for Injuries on or After 11/1/1986 - Massachusetts, Page 2

    2

  • Form 117 Lump Sum Settlement Agreement for Injuries on or After 11 / 1 / 1986 - Massachusetts, Page 1
  • Form 117 Lump Sum Settlement Agreement for Injuries on or After 11 / 1 / 1986 - Massachusetts, Page 2
Prev 1 2 Next
ADVERTISEMENT