Form WCB-213A Petition for Review of Extended Benefits Awarded Due to Extreme Financial Hardship Pursuant to 39-a M.r.s.a. 213(1)(B) - Maine

Form WCB-213A Petition for Review of Extended Benefits Awarded Due to Extreme Financial Hardship Pursuant to 39-a M.r.s.a. 213(1)(B) - Maine

What Is Form WCB-213A?

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.

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;
  • Fill out the form in our online filing application.

Download a fillable version of Form WCB-213A by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Maine Workers' Compensation Board.

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Download Form WCB-213A Petition for Review of Extended Benefits Awarded Due to Extreme Financial Hardship Pursuant to 39-a M.r.s.a. 213(1)(B) - Maine

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  • Form WCB-213A Petition for Review of Extended Benefits Awarded Due to Extreme Financial Hardship Pursuant to 39-a M.r.s.a. 213(1)(B) - Maine, Page 1
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