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Form 101 Employer's First Report of Injury or Fatality - Massachusetts
What Is Form 101?
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 101?A: Form 101 is the Employer's First Report of Injury or Fatality.
Q: Who needs to file Form 101?A: Employers in Massachusetts need to file Form 101 if there is a work-related injury or fatality.
Q: What information is required on Form 101?A: Form 101 requires information about the employer, injured worker, and details of the injury or fatality.
Q: When does Form 101 need to be filed?A: Form 101 must be filed within 48 hours of the employer becoming aware of the injury or fatality.
Form Details:
- Released on July 1, 2010;
- 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 101 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
Download Form 101 Employer's First Report of Injury or Fatality - Massachusetts
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