Discontinuance Of Compensation {WCB-4D}

WCB-4D - DISCONTINUANCE OF COMPENSATION. This form is issued by the State of Maine Workers’ Compensation Board to formally notify an employee that their workers’ compensation benefits are being terminated. It is used by employers or insurers to document the reason for discontinuance, such as the employee’s return to full-duty work, a lump sum settlement, a Board decision, or another qualifying event under Maine’s workers’ compensation laws and rules. The form provides details about the employee, the injury or illness, the period of incapacity, compensation amounts paid, and the date of final payment. It also includes contact information for the regional Workers’ Compensation Board offices so the employee can obtain assistance or dispute the discontinuation if necessary. www.FormsWorkflow.com