Massachusetts Workers' Compensation Poster (Spanish) Required

Workers' Compensation Poster (Spanish) PDF

The Workers' Compensation Poster (Spanish) 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, written in Spanish, must be posted in a conspicuous place where all Spanish speaking 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.

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Spanish Language Mandatory for All Labor Law Posters
Poster PDF
Poster Content

The Commonwealth of Massachusetts 
DEPARTMENT OF INDUSTRIAL ACCIDENTS 
1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017 617-727-4900 - http ://www.mass.gov/dia 
De acuerdo con lo dispuesto  por los artículos 21, 22 y 30 de l capítulo 152 de las Leyes 
Generales de Massachussets, po r el presente notificamos que hemos previsto el pago a 
nuestros empleados lesionados , conforme al capítulo antes mencionado, mediante un 
seguro con: 
________________________________________________________________________ 
NOMBRE DE LA COMPAÑÍA DE SEGURO 
______________________________________________________________________________________ 
DOMICILIO DE LA COMPAÑÍA DE SEGURO 
  
NÚMERO DE PÓLIZA                                                                FECHAS DE VIGENCIA 
______________________________________________________________________________________ 
NOMBRE DEL AGENTE DE SEGUROS   DOMICILIO   TELÉFONO 
______________________________________________________________________________________
EMPLEADOR                                                DOMICILIO 
______________________________________________________________________________________ 
FUNCIONARIO DEL EMPLEADOR PARA ACCIDENTES DE TRABAJO (SI HUBIERA)
   FECHA 
 
TRATAMIENTO MÉDICO 
En caso de lesiones personales ocurridas a ra íz del trabajo o durante el trabajo, la 
aseguradora cuyo nombre aparece arriba debe  prestar servicios médicos y hospitalarios 
adecuados razonables de acuerdo con lo dispue sto por la Ley de Accidentes de Trabajo. 
El empleado lesionado debe reci bir una copia del Primer Informe de Lesión. El empleado 
puede elegir su propio médico. El costo razonable de lo s servicios prestados por el 
médico que asista en el caso será abonado po r la aseguradora, siempre que el tratamiento 
sea necesario y esté razonablemente relaci onado con la lesión ocupacional. En caso de 
que se necesite atención hospitalaria, por la presente se notifica a los empleados que la 
aseguradora ha dispuesto que esa atención sea prestada en: 
_______________________________________________________________________ 
NOMBRE DEL HOSPITAL      DOMICILIO 
ANUNCIO PUBLICADO POR EL EMPLEADOR 
 
AVISO PARA 
EMPLEADOS
AVISO PARA 
EMPLEADOS

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Federal Mandatory COVID-19 Sick Leave Poster

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Poster Sources:

Original poster PDF http://www.mass.gov/lwd/workers-compensation/forms/form-list-alphabetical/posters/f-er-poster-spanish.pdf , updated April 2017
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

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