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 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
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.