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The Claims Processing Operations Unit has 2 functions. The 1st being receiving Form 101 - First Reports of Injury (which can only be filed electronically), insurance forms, claims, and liens per 452 CMR 1.00.
The 2nd function is to enter information (including online filings) into our case management database. All information must be accurate; if not, manual filings will be returned with instructions and online filings will prompt you for the correct information. This Unit establishes the workers' compensation case at the initial level and may result in the scheduling of a conciliation.
Information brochures will be mailed to injured workers when a lost time report is filed with the DIA.
We encourage all employers and insurers in conjunction with their 3rd party administrators, attorneys and 3rd party providers to submit filings electronically, thus incurring no fee. You will be assured of timely acceptances and reduce your postage costs.
The Records Access Office (RAO) responds to requests for records as required by the Massachusetts Public Records Law, MGL c. 66. A WRITTEN request must be sent to the RAO. All documents that are not considered public records, or considered exempt under the MGL c. 4, § 7(26), in whole or in part, shall be withheld. The Records Access Officer for the Department of Industrial Accidents is Bill Taupier, Director of Administration, (617) 727-4900, Ext. 7560, Bill.Taupier@massmail.state.ma.us.
*Costs for discs, thumb-drives or other storage devices necessary to transmit requested documents still apply.
**To be provided within 3-9 days of receipt of the request
All employers must file an Form 101 - Employer's First Report of Injury or Fatality, within 7 calendar days of receiving notice of any injury alleged to have arisen out of and in the course of employment that prevents an employee from earning full or partial wages for a period of 5 CALENDAR days.
Failure to file this report or filing the report late is a violation under MGL c. 152, § 6. If this violation occurs 3 or more times within any 12 month period, a fine of $ 100 for each such violation will be sent to the employer. A payment or appeal response is required within 30 calendar days as outlined on the Form 60 Notice. You will be notified when a decision is rendered. Failure to comply may escalate to various demand levels. There is no appeal process for demand notices.
Any questions on Demand Notice - Form 420 may be directed to Revenue Office at (617) 626-5470.
Referral to Revenue Office terminates the involvement of the First Report Compliance Office.