Massachusetts Workers' Compensation Poster Required
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 The Lafayette City Center 2 Avenue de Lafayette Bo ston, Massachusetts 02111- 1750 ( 617) 727-4900 www.mass.gov/dia As required by Mas sachusetts General Law, Ch apter 152, §§§ 21, 22 & 30, this will give you notic e that I (we) have provide d for payment to our injured employees under the above-mentioned ch apter by insuring with: NAME OF INSURANC E COMPANY ADDRESS OF INSURANCE COMPANY POLICY NUMBER EFFECTIVE DATES NAME OF INSURANCE AGENT ADDRESS PHONE # EMPLOY ER ADDRESS EMPLOY ER’S WO RKERS’ 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 em ploym ent to furnish adequat e and reasonable hospital and medical services in accordance with the provisions of the Worker s’ Compensat ion Act. A copy of the First Report of Injury must be given to the injured empl oyee. The employe e may select his or her own physician. The reasonab le cost of the ser- vices provided by the treating physic ian will be paid by the insurer, if the treat ment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, em ployees are hereby notif ied that the insurer has ar ranged 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.
- Original poster PDF http://www.mass.gov/lwd/workers-compensation/forms/form-list-alphabetical/posters/f-er-poster-english.pdf , updated August 2019
- Massachusetts Labor Law Posters at http://www.mass.gov/lwd/labor-standards/dls/massachusetts-workplace-poster-requirements.html
- Massachusetts Department Of Labor and Workforce Development
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.