offered by
Department of Industrial Accidents
related to
Workers' Compensation

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.

What would you like to do?

Top tasks

Apply for a DIA online account  Log in to your DIA online account 

What you need to know

DIA alphabetical form list  DIA numerical form list  DIA assessment forms 

Contact Information

Address

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

Phone

(857) 321-7470

Phones open M-F 8 am - 5 pm

TTY (800) 224-6196

Phones open M-F 8 am - 5 pm

Toll Free In Massachusetts Only (800) 323-3249

Phones open M-F 8 am - 5 pm.

Online

Info2@mass.gov

Fax

(617) 727-7470

More Information

Related Services

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