EMPLOYEE’S CLAIM Forms
| Form Name | EMPLOYEE’S CLAIM |
| Form # | Form 110 |
| Form Revision | Revised 7/2019 |
| Category | Forms » First Report |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | The Employee Claim Form - Form 110 should be completed whenever you think you are not getting the workers' compensation benefits you are entitled to. For example, your company or its insurance company |
| Claimwire Description | n/a |