APPEAL TO REVIEWING BOARD Forms
| Form Name | APPEAL TO REVIEWING BOARD |
| Form # | Form 112 |
| Form Revision | Revised 7/2019 |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | File this form with the Department of Industrial Accidents within 30 days from the filing date of the Hearing decision by an Administrative Judge. This form is NOT to be used to appeal a conference or |
| Claimwire Description | n/a |