Massachusetts:

Massachusetts Printable Free Workers Compensation Law Posters 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.

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NOTICE	 	
TO 	
EMPLOYEES 	
NOTICE	 	
TO 	
EMPLOYEES 	
  
 	
The Commonwealth  of 	Massachusetts	 	
DEPARTMENT OF  INDUSTRIAL 	ACCIDENTS	 	
The Lafayette City Center  
2 Avenue de Lafayette 
Bo ston, Massachusetts 02111- 1750 
      ( 617)  727-4900     www.mass.gov/dia	
 	
 	
As required by Mas sachusetts General Law, Ch apter 152, §§§ 21, 22 & 30, this will give you notic e that 
I (we) have provide d for payment to our injured employees under the above-mentioned ch apter by 
insuring with:  	
 
 	
NAME OF INSURANC E COMPANY 	
 	
ADDRESS
 OF INSURANCE  COMPANY 	
 
POLICY NUMBER
  EFFECTIVE DATES 
 
NAME OF INSURANCE AGENT
 ADDRESS  PHONE # 
 
EMPLOY
ER  ADDRESS 
 
EMPLOY
ER’S WO RKERS’ 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 
em ploym ent to furnish adequat e and reasonable hospital  and medical  services  in accordance with the 
provisions of the Worker s’ Compensat ion Act.  A copy of the First Report of Injury must be given to the 
injured empl oyee.  The employe e may select his or her own physician.  The reasonab le cost of the ser- 
vices provided by the treating physic ian will be paid by the insurer, if the treat ment is necessary and 
reasonably  connected to the work related injury.  In cases requiring hospital attention, em ployees are 
hereby notif ied that the insurer has ar ranged for such attention at the  	
 
 	
NAME OF HOSPITAL   ADDRESS 	
TO BE POSTED BY EMPLOYER

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Instead of printing out pages of mandatory Massachusetts and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all Massachusetts and federal posting requirements. Fully updated for February 2017!

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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

List of all 13 Massachusetts labor law posters


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.

** This Document Provided By Minimum-Wage.org **
Source: http://www.minimum-wage.org/massachusetts/labor-law-posters/185-workers-compensation-poster