This is a legal form that was released by the Maine Workers' Compensation Board - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form WCB-150?
A: Form WCB-150 is a document used to file a Petition for Award of Compensation for a fatal work-related injury in Maine.
Q: Who can file a Form WCB-150?
A: The surviving dependents of an employee who died due to a work-related injury can file a Form WCB-150.
Q: What is the purpose of filing a Form WCB-150?
A: The purpose of filing a Form WCB-150 is to seek compensation for the death of a loved one resulting from a work-related injury.
Q: What information is required on a Form WCB-150?
A: Form WCB-150 requires information about the deceased employee, the dependents filing the petition, and details about the work-related injury and death.
Q: When should I file a Form WCB-150?
A: A Form WCB-150 should be filed as soon as possible after the death of the employee to initiate the process for seeking compensation.
Q: Is there a deadline for filing a Form WCB-150?
A: Yes, there is a deadline. The petition must be filed within two years from the date of the employee's death.
Download a fillable version of Form WCB-150 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.