ADDENDUM TO LUMP SUM SETTLEMENT AGREEMENT - VOCATIONAL REHABILITATION STATUS Forms
| Form Name | ADDENDUM TO LUMP SUM SETTLEMENT AGREEMENT - VOCATIONAL REHABILITATION STATUS |
| Form # | FORM 116B |
| Form Revision | Revised 10/2023 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | This form must be filed at the lump sum conference. It is not sent in with the Form 116 (Request for Lump Sum Conference). It must be signed by the claimant, the claimant's counsel, and the counsel fo |
| Claimwire Description | n/a |