|WCB 260||Application for Predetermination of Independent Contractor Status to Establish Conclusive Presumption - Landowner/Woodharvester (PDF)|
|WCB 262||Application for a Certificate of Independent Status (PDF)|
|WCB-266||Application for Predetermination of Independent Contractor Status to Establish A Rebuttable Presumption (PDF form-fillable)|
You have the right to appeal this decision within 10 days from the date of the Board’s decision. See 39-A M.R.S.A. § 105(4). All appeals must be in writing and mailed to: Lindsay Lizzotte, Maine Workers’ Compensation Board, 27 State House Station, Augusta, ME 04333-0027.
Applications may be submitted by fax at 207-287-5413 or by postal mail to: Workers' Compensation Board, 27 State House Station, Augusta, ME 04333-0027. Please note: emailed applications are not accepted.
For questions regarding Predetermination of Independent Contractor Status, please contact Lisa Bachelder at (207) 287-7071.