Maine > Workers Compensation
Request For Expedited Proceeding WCB-250 - Maine
| Request For Expedited Proceeding Form. This is a Maine form and can be used in Workers Compensation . |
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REQUEST FOR EXPEDITED PROCEEDING STATE OF MAINE WORKERS' COMPENSATION BOARD 27 STATE HOUSE STATION, AUGUSTA, MAINE 04333-0027 62&,$/ 6(&85,7< 180%(5 ODVW GLJLWV ,1685(5 ),/( 180%(5 (03/2<(5 1$0( :&% ),/( 180%(5 ),567 1$0( 0, ;;;;; (03/2<(( /$67 1$0( (03/2<(5 0$,/,1* $''5(66 $1' 3+21( 180%(5 $''5(66180%(5 $1' 675((7 ,1685(5 1$0( &,7< 67$7( =,3 +20( 3+21( ,1685(5 0$,/,1* $''5(66 '$7( 2) ,1-85< '(6&5,37,21 2) ,1-85< PURSUANT TO 90 MAR 351 CH. 1. §9, THIS REQUEST FOR EXPEDITED PROCEEDING (WCB-250) MUST BE ATTACHED TO THE FRONT OF THE APPROPRIATE PETITION AND SUPPORTING DOCUMENTS. , 5(48(67 $1 (;3(',7(' 352&((',1* &+226( 21( 2) 7+( )2//2:,1* %$6(' 21 $ ',6&217,18$1&( 25 5('8&7,21 2) 3$<0(176 38568$17 72 $ 056$ ( %$6(' 21 0$77(56 ,192/9,1* 0(',&$/ &$5( 25 7+( 5,*+7 72 %(1(),76 )25 727$/ ,1&$3$&,7< 38568$17 72 $ 056$ (;3/$1$7,21 BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 6,*1$785( 2) 5(48(67,1* 3$57< BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB '$7( 1$0( $''5(66 $1' 7(/(3+21( 2) $77251(< ,) $1< 5(35(6(17,1* &+(&. 21( (03/2<(( (03/2<(5 ASSISTANCE IS AVAILABLE AT THE MAINE WORKERS' COMPENSATION BOARD'S REGIONAL OFFICES AUGUSTA BANGOR CARIBOU LEWISTON PORTLAND 6721( 67 67( +2*$1 5' 21( 9$8*+1 3/ 02//,621 :$< (/0 67 $8*867$ 0( %$1*25 0( +$7&+ '5 67( /(:,6721 0( 3257/$1' 0( &$5,%28 0( 7KH 6WDWH RI 0DLQH SURYLGHV HTXDO RSSRUWXQLW\ LQ HPSOR\PHQW DQG SURJUDPV $X[LOLDU\ DLGV DQG VHUYLFHV DUH DYDLODEOH WR LQGLYLGXDOV ZLWK GLVDELOLWLHV XSRQ UHTXHVW )RU DVVLVWDQFH ZLWK WKLV IRUP FRQWDFW WKH $'$ &RRUGLQDWRU DW WKH 0DLQH :RUNHUV¶ &RPSHQVDWLRQ %RDUG 7HOHSKRQH RU 0DLQH 5HOD\ :&% HII American LegalNet, Inc. www.FormsWorkFlow.com
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