INSURER’S NOTIFICATION OF ACCEPTANCE, RESUMPTION OR TERMINATION OR MODIFICATION OF WEEKLY COMPENSATION Forms
| Form Name | INSURER’S NOTIFICATION OF ACCEPTANCE, RESUMPTION OR TERMINATION OR MODIFICATION OF WEEKLY COMPENSATION |
| Form # | Form 107 |
| Form Revision | Revised 7/2019 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | Use Form 107 as a notice to terminate or modify weekly payments, outside the pay without prejudice period. Use Form 106 as notice to terminate or modify weekly payments being made without prejudice u |
| Claimwire Description | n/a |