You must file an appeal within 30 days of the decision.
You may appeal an administrative judge’s hearing decision about your workers’ compensation case to the Reviewing Board.
- This page, Appeal a workers’ compensation hearing decision, is offered by
- Department of Industrial Accidents
Appeal a workers’ compensation hearing decision
Contacts
Department of Industrial Accidents
The Details
What you need
You must file an appeal of an administrative judge’s hearing decision about your workers’ compensation case, along with the fee, within 30 days.
Fees
| Name | Fee | Unit |
|---|---|---|
| Filing Fee | $548.75 | each |
How to appeal
- Download and fill out Form 112 – Appeal to the Reviewing Board
- If you were hurt on or after Nov. 1, 1986, you must pay a filing fee equal to 30% of the state average weekly wage at the time of the appeal
- As of October 1, 2024, the appeal fee is $548.75
- Make the check out to the Massachusetts Industrial Special Fund
- Mail the form and fee to:
Reviewing Board Fee Processing
Department of Industrial Accidents
Lafayette City Center
2 Avenue de Lafayette
Boston, MA 02111
- If you can’t pay the filing fee, you may request a waiver by filing Form 112A – Affidavit in Support of request for Waiver of Filing Fee under § 11C
- Download and mail Form 112A to:
Department of Industrial Accidents
Dept. 112A
Lafayette City Center
2 Avenue de Lafayette
Boston, MA 02111
Copies of all forms and their supporting documents must be sent to all parties.
- Download and fill out the Form 112 – Appeal to the Reviewing Board
- If you were hurt on or after Nov. 1, 1986, you must pay a filing fee equal to 30% of the state average weekly wage at the time of the appeal
- As of October 1, 2019 the appeal fee is $548.75
- Make the check out to the Massachusetts Industrial Special Fund
- There is no fee if you were hurt before Nov. 1, 1986
- Bring the form and fee to:
Department of Industrial Accidents
Lafayette City Center
2 Avenue de Lafayette
Boston, MA 02111-1750
- If you can’t pay the filing fee, you may request a waiver by filing Form 112A – Affidavit in Support of request for Waiver of Filing Fee under § 11C
- Download and bring the Form 112A to:
Department of Industrial Accidents
Lafayette City Center
2 Avenue de Lafayette
Boston, MA 02111-1750
Copies of all forms and their supporting documents must be sent to all parties.
Next steps
What to expect after you file your appeal
- The Reviewing Board will send the parties a date when briefs are due
- The Reviewing Board can choose to schedule oral arguments
- The Reviewing Board can send the case back to the administrative judge for further findings of fact
- It can also affirm a decision without discussion of the issues
Downloads
Open PDF file, 158.02 KB,
Form 112 - Appeal to Reviewing Board
(English, PDF 158.02 KB)
Contact
Address
Boston - Main Office - (617) 727-4900 - 8:30 - 5:00
Lafayette City Center, 2 Avenue de Lafayette, Boston, MA 02111-1750
Fall River - (508) 676-3406 - 8:30 - 5:00
1 Father DeValles Blvd., 3rd Fl., Fall River, MA 02723
Lawrence - (978) 683-6420 - 8:30 - 5:00
354 Merrimack St., Entrance C, Suite 230, Lawrence, MA 01843
Worcester - (508) 753-2072 - 8:30 - 5:00
Mercantile Center, 100 Front St., Suite 310, Worcester, MA 01608