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Tel: 207-287-3751; TDD: 207-287-6119; Fax: 207-287-7198
Internet Address: http://www.maine.gov/wcb
WORKERS’ COMPENSATION BOARD FEE SCHEDULE
EFFECTIVE September 17, 2008
The following fee schedule is authorized by P.L. 1993, Chapter 145, section 152, subsection 14.
| ITEM | MEDIA | COST* | |
|---|---|---|---|
| 1. | Facts About Maine Workers ’ Compensation Laws | $.50 |
|
| 2. | Maine Workers’ Compensation Act | $4.50 |
|
| 3. | Weekly Benefit Table | $15.00 Gossamer Press |
|
| 4. | Forms (individual sheets and four part forms) | Samples Available |
* * |
| 5. | Notice to Employees | Poster |
Up to Five Free * * |
| 6. | Computer Screen Prints (The charge is $5.00 for the screen print regardless of the number of files related to a specific claimant.) Note: A requestor must meet the “Need to Know” standard found in WCB Rule Ch. 16, Sec. 2 to obtain screen prints of claim files. |
Paper |
$5.00 |
| 7. | Claim File Document (includes existing transcripts) |
Research Fee per request Per Page Copy Cost Certification of Records |
$5.00 $.50 $5.00 |
| 8. | Medical Fee Schedule | 2005 Booklet Available on Internet |
$25.00 Gossamer Press |
| 9. | Computer Data | Contact Paul Fortier |
$100.00 |
| 10. | Personnel research time accumulating data to fulfill individual requests for special projects |
Pay scale 15 and below Pay scale 16 and above |
$20.00 hourly $40.00 hourly |
| 11. | Employer/Employee Exhibit Labels (25 stickers per page) |
Paper |
$2.50 |
| 12. | Workers’ Compensation Board Rules and Regulations | Paper Available on Internet |
$10.00 |
| 13. | Board Minutes Subscription runs from 7-1 through 6-30 |
Paper Available on Internet |
$100.00 |
| 14. | Board Minutes with Index Subscription runs from 7-1 through 6-30 |
Paper Available on Internet |
$150.00 |
| 15. | Board Subscription Review (Annual) | Paper |
$75.00 |
| 16. | Forms and Petitions Manual | $10.00 |
*Includes postage and handling. Costs subject to change without notice. CHECKS MUST BE MADE PAYABLE TO: TREASURER, STATE OF MAINE .
* Includes postage and handling. Costs are subject to change without notices. CHECKS MUST BE MADE PAYABLE TO: TREASURER, STATE OF MAINE.
** Quantities may be reproduced locally or are available through Gossamer Press, Attn: Linda Fuller, 259 Main St., Old Town, ME 04468. Tel (207) 827-9881, Fax: (207) 827-9861 or email Linda@GossamerPress.com
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