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Form 170 Affidavit of Employee in Application for Trust Fund Benefits - Massachusetts
What Is Form 170?
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 170?A: Form 170 is the Affidavit of Employee in Application for Trust Fund Benefits in Massachusetts.
Q: Who needs to complete Form 170?A: Form 170 must be completed by employees applying for trust fund benefits.
Q: What are trust fund benefits?A: Trust fund benefits refer to compensation paid to employees who have not been paid by their employer.
Q: Do I need to submit any additional documentation with Form 170?A: Yes, you may need to submit additional documentation, such as pay stubs or records of unpaid wages.
Q: What is the purpose of Form 170?A: The purpose of Form 170 is to provide detailed information about the employee's unpaid wages and to support their claim for trust fund benefits.
Q: Is there a deadline for submitting Form 170?A: Yes, there is a deadline for submitting Form 170. The employee must submit the form within 180 days of the last day of work for the employer.
Form Details:
- Released on July 1, 2019;
- 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 170 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
