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 under M.G.L. Ch. 152, § 8 (1).

Print Form 107  pdf format of Form 107
form.

Recommended Content

People also viewed...

You recently viewed...

Personalization is OFF. Your personal browsing history at Mass.gov is not visible because your personalization is turned off. To view your history, turn your personalization on.

Learn more on our .

*Recommendations are based on site visitor traffic patterns and are not endorsements of that content.