Form WCB-420 Petition for Forfeiture Pursuant to 39-a 324(2) - Maine

Form WCB-420 Petition for Forfeiture Pursuant to 39-a 324(2) - Maine

What Is Form WCB-420?

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-420?A: Form WCB-420 is a petition for forfeiture pursuant to 39-a 324(2) in the state of Maine.

Q: What does Form WCB-420 entail?A: Form WCB-420 is used to request forfeiture of workers' compensation benefits in cases where an injured worker has committed fraud or other misconduct.

Q: Who can file Form WCB-420?A: Form WCB-420 can be filed by an employer, insurance carrier, or the Maine Workers' Compensation Board.

Q: What is the purpose of filing Form WCB-420?A: The purpose of filing Form WCB-420 is to initiate the legal process of forfeiting workers' compensation benefits due to fraudulent or misconduct by the injured worker.

Q: What should be included in Form WCB-420?A: Form WCB-420 should include details about the fraudulent or misconduct activities of the injured worker, supporting evidence, and any other relevant information.

Q: Is there a deadline for filing Form WCB-420?A: Yes, there is a deadline for filing Form WCB-420. It is important to consult the Maine Workers' Compensation Board or an attorney to determine the specific deadline for your case.

Q: What happens after filing Form WCB-420?A: After filing Form WCB-420, the case will be reviewed by the Maine Workers' Compensation Board, and a decision will be made regarding the forfeiture of workers' compensation benefits.

Q: Can I appeal the decision made based on Form WCB-420?A: Yes, you have the right to appeal the decision made based on Form WCB-420. You should consult an attorney to understand the appeal process and requirements.

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Form Details:

  • Released on February 1, 2017;
  • 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-420 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.

Download Form WCB-420 Petition for Forfeiture Pursuant to 39-a 324(2) - Maine

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