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

The Workers' Compensation Poster is a workers compensation law 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 .

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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 5 PDFS

There are an additional six 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.

Poster Name Poster Type
Mandatory Workers' Compensation Poster Workers Compensation Law
Mandatory Workers' Compensation Poster (Spanish) Workers Compensation Law
Mandatory Information on Employees' Unemployment Insurance Coverage Unemployment Law
Mandatory Right to Know Workplace Notice Job Safety Law
Mandatory Paid Family and Medical Leave Poster General Labor Law Poster

View all 7 Massachusetts labor law posters


Get a 2020 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 2020!

Get 2018 All-In-One Poster Now

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Disclaimer:

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