Form WCB-170 Petition for Restoration - Maine

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Form WCB-170 Petition for Restoration - Maine

What Is Form WCB-170?

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.

FAQ

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.

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Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the Maine Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Form WCB-170 Petition for Restoration - Maine

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  • Form WCB-170 Petition for Restoration - Maine, Page 1
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