Department of Industrial Accidents Forms

All the forms you need when dealing with workers' compensation and the Department of Industrial Accidents (DIA).

The DIA uses forms for many reasons. The lists are broken down into numbered and alphabetical lists. Not all forms have a number, so if you can't find the form you're looking for, check out the alphabetical list.

Contact Information


Boston DIA
Lafayette City Center, 2 Avenue de Lafayette, Boston, MA 02111-1750


Phones open M-F 8 am - 5 pm

Phones open M-F 8 am - 5 pm

Phones open M-F 8 am - 5 pm.


(617) 727-7470

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