CONSENT OF EMPLOYER TO LUMP SUM SETTLEMENT Forms
| Form Name | CONSENT OF EMPLOYER TO LUMP SUM SETTLEMENT |
| Form # | Form 116A |
| Form Revision | Revised 7/2019 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | This form must be filed at the Lump Sum Conference, if the Employer's consent is required to lump sum a case. It is filled out and signed by the employer or their delegate. |
| Claimwire Description | n/a |