Appeal a workers’ compensation hearing decision

You may appeal an administrative judge’s hearing decision about your workers’ compensation case to the Reviewing Board.
You must file an appeal within 30 days of the decision.

Department of Industrial Accidents

The Details of Appeal a workers’ compensation hearing decision

What you need for Appeal a workers’ compensation hearing decision

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 for Appeal a workers’ compensation hearing decision

Name Fee Unit
Filing Fee $415.02 each

How to appeal Appeal a workers’ compensation hearing decision

 

  • 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, 2018, the appeal fee is $415.02
  • 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
     


                               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, 2018 the appeal fee is $415.02
  • 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

  • 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 for Appeal a workers’ compensation hearing decision

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 for Appeal a workers’ compensation hearing decision

Contact for Appeal a workers’ compensation hearing decision

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