Form WCB-180 Petition to Determine Extent of Permanent Impairment - Maine

Form WCB-180 Petition to Determine Extent of Permanent Impairment - Maine

What Is Form WCB-180?

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-180?
A: Form WCB-180 is the Petition to Determine Extent of Permanent Impairment in Maine.

Q: When is Form WCB-180 used?
A: Form WCB-180 is used to request a determination of the extent of permanent impairment for a work-related injury or illness in Maine.

Q: Who can file Form WCB-180?
A: The injured worker, their employer, or an attorney representing the injured worker can file Form WCB-180.

Q: What information is required on Form WCB-180?
A: Form WCB-180 requires information about the injured worker, the employer, the nature of the injury, and medical documentation.

Q: What is the purpose of Form WCB-180?
A: The purpose of Form WCB-180 is to initiate a process to determine the extent of permanent impairment resulting from a work-related injury or illness.

Q: What happens after I file Form WCB-180?
A: After filing Form WCB-180, a hearing may be scheduled to evaluate the evidence and make a determination of the extent of permanent impairment.

Q: Can I get assistance in filling out Form WCB-180?
A: Yes, you can seek assistance from an attorney or the Maine Workers' Compensation Board in filling out Form WCB-180.

Q: What is the deadline for filing Form WCB-180?
A: The deadline for filing Form WCB-180 is typically within the Maine workers' compensation statute of limitations.

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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-180 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.

Download Form WCB-180 Petition to Determine Extent of Permanent Impairment - Maine

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  • Form WCB-180 Petition to Determine Extent of Permanent Impairment - Maine, Page 1
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