Department of Industrial Accidents - Department 101
1 Congress Street, Suite 100
Boston, MA 02114-2017
The Department of Industrial Accidents (DIA) has procedures in place for filing forms electronically, using a log-in and password. It is recommended to file electronically to expedite the claims processing.
You should make three (3) copies of the Form 101. One (1) copy MUST be given to the employee; one (1) copy to your insurance company and keep one (1) copy for your records.
If the form you submitted is incomplete or contains an error, it will be rejected by the DIA and returned to you for completion. Add or correct the information on the rejected form and resubmit that form. If a new form is filled out, include a copy of the date-stamped rejected form with your new submission. This will help you to avoid incurring a fine.