Massachusetts Workers' Compensation Poster Mandatory
The Workers' Compensation Poster is a Massachusetts workers compensation law poster provided for businesses by the Massachusetts Department Of Labor and Workforce Development. This is a required poster for all Massachusetts employers, and any business that fails to post this notification may be subject to penalties or fines.
This mandatory poster is a detailed summary of Massachusetts workers compensation rights and responsibilities. It details how employees should report any injuries that occur on the job and what benefits may be available. The employer's insurance carrier information is to be filled in on the bottom.
NOTICE TO EMPLOYEES NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS LAFAYETTE CITY CENTER, 2 AVENUE DE LAFAYETTE, BOSTON, MA 02111 (617) 727-4900 – www. mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: NAME OF INSURANCE COMPANY ADDRESS OF INSURANCE COMPANY POLICY NUMBER EFFECTIVE DATES NAME OF INSURANCE AGENT ADDRESS PHONE # EMPLOYER ADDRESS EMPLOYER’S WORKERS’ COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers’ Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connecte d to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER
More Massachusetts Labor Law Posters 13 PDFS
Minimum-Wage.org provides an additional twelve required and optional Massachusetts labor law posters that may be relevant to your business. Be sure to also print and post all required state labor law posters, as well as all of the mandatory federal labor law posters.
|Massachusetts Poster Name||Poster Type|
|Required Workers' Compensation Poster||Workers Compensation Law|
|Required Workers' Compensation Poster (Spanish)||Workers Compensation Law|
|Required Information on Employees' Unemployment Insurance Coverage||Unemployment Law|
|Required Right to Know Workplace Notice||Job Safety Law|
|Required Paid Family and Medical Leave Poster||General Labor Law Poster|
Massachusetts Labor Law Poster Sources:
Labor Poster Disclaimer:
While Minimum-Wage.org does our best to keep our list of Massachusetts labor law posters updated and complete, we provide this free resource as-is and cannot be held liable for errors or omissions. If the poster on this page is out-of-date or not working, please send us a message and we will fix it ASAP.