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-170?
A: Form WCB-170 is a petition for restoration in the state of Maine.
Q: What is a petition for restoration?
A: A petition for restoration is a form used to request the reinstatement of workers' compensation benefits.
Q: Who can file Form WCB-170?
A: The injured worker or their attorney can file Form WCB-170.
Q: What information is required in Form WCB-170?
A: Form WCB-170 requires information about the injured worker, their employer, and the reason for requesting restoration of benefits.
Q: Is there a deadline for filing Form WCB-170?
A: Yes, Form WCB-170 must be filed within two years from the date the employer last paid benefits or within two years from the date of injury if no benefits were paid.
Download a fillable version of Form WCB-170 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.