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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 116A
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Form 116A Consent of Employer to Lump Sum Settlement - Massachusetts
What Is Form 116A?
This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 116A?A: Form 116A is the Consent of Employer to Lump Sum Settlement in Massachusetts.
Q: What is a lump sum settlement?A: A lump sum settlement is a one-time payment made to resolve a workers' compensation claim.
Q: Who needs to complete Form 116A?A: The employer needs to complete Form 116A to give consent to a lump sum settlement.
Q: Why is Form 116A necessary?A: Form 116A is necessary to ensure that the employer agrees to the lump sum settlement and waives certain rights.
Q: Are there any fees associated with Form 116A?A: There are no fees associated with Form 116A.
Q: Can Form 116A be submitted electronically?A: Yes, Form 116A can be submitted electronically.
Q: When should Form 116A be completed?A: Form 116A should be completed when both parties have reached a settlement agreement.
Q: What happens after Form 116A is submitted?A: After Form 116A is submitted, the workers' compensation claim can proceed with the lump sum settlement.
Q: Are there any deadlines for submitting Form 116A?A: There may be specific deadlines for submitting Form 116A depending on the individual case. It is best to consult with an attorney or the Massachusetts Department of Industrial Accidents for specific deadlines.
Form Details:
- Released on July 1, 2013;
- The latest edition provided by the Massachusetts Department of Industrial Accidents;
- 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 116A by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
