Massachusetts Free Printable Labor Law Posters Posters Massachusetts Workers' Compensation Poster Required

 Workers' Compensation Poster PDF

The Workers' Compensation Poster is a labor law posters poster by the Massachusetts Department Of Labor and Workforce Development. This is a mandatory posting for all employers in Massachusetts, and businesses who fail to comply may be subject to fines or sanctions.

This poster must be posted in a conspicuous place where all employees will see it. This poster describes the notice that employers give employees about the employer's insurance company should any employee get injured while on the job.


MA All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both Massachusetts and Federal poster requirements by clicking here .

NOTICE TO 
EMPLOYEES  NOTICE 
TO 
EMPLOYEES 	
 
 	
The Commonwealth of Massachusetts  	
DEPARTMENT OF INDUSTRIAL ACCIDENTS  	
LAFAYETTE CITY CENTER, 2 AVENUE DE LAFAYETTE, BOSTON, MA 02111 	
(617) 727-4900 – www. mass.gov/dia  	
As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice 
that I (we) have provided for payment to our injured employees under the above-mentioned chapter by  insuring with: 	
  	
NAME OF INSURANCE COMPANY 	
 	
ADDRESS OF INSURANCE COMPANY 	
 
POLICY NUMBER   EFFECTIVE DATES  
 
NAME OF  INSURANCE  AGENT   ADDRESS  PHONE # 
 
EMPLOYER   ADDRESS 
 
EMPLOYER’S WORKERS’ COMPENSATION OFFICER  (IF  ANY)   DATE 
 
 
 	
MEDICAL TREATMENT 	
The above named  insurer is required in cases of personal injuries arising out of and in the course of 
employment to furnish adequate and reasonable hospital and medical services in accordance with the 
provisions of the Workers’ Compensation Act. A copy of the First Report of Injury must be given to the 
injured employee. The employee may select his or her own physician. The reasonable cost of the ser- 
vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and 
reasonably connecte d to the work related injury. In cases requiring hospital attention, employees are 
hereby notified that the insurer has arranged for such attention at the 	
 
 	
NAME  OF  HOSPITAL   ADDRESS 	
TO BE POSTED BY EMPLOYER

Other Massachusetts Labor Law Posters 4 PDFS

There are an additional twelve optional and mandatory Massachusetts labor law posters that may be relevant to your business. Be sure to also print all relevant state labor law posters, as well as all mandatory federal labor law posters.


View all 13 Massachusetts labor law posters


Get a 2022 Massachusetts all-in-one labor law poster

Instead of printing out pages of mandatory Massachusetts and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all Massachusetts and federal posting requirements. Fully updated for 2022!

Get 2022 All-In-One Poster Now


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While we do our best to keep our list of Massachusetts labor law posters up to date and complete, we cannot be held liable for errors or omissions. Is the poster on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By LaborPosters.org **
Source: http://www.laborposters.org/massachusetts/185-workers-compensation-poster-poster.htm