Statutes, codes, and regulations
Maine Administrative Code
Department 90 - INDEPENDENT AGENCIESDivision 351 - WORKERS' COMPENSATION BOARD
Chapter 3 - FORM FILING
LIST OF APPENDICES

C.M.R. 90, 351, ch. 3, LIST OF APPENDICES

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Current through 2024-51, December 18, 2024
LIST OF APPENDICES

90-351

Maine Workers' Compensation Board

Rule Chapter 3 Electronic Filing

List of Appendices

I. Instructions and

Maine Workers' Compensation Board (MWCB)

Claims Release 3 (CR 3), First Report of Injury (FROI),

Element Requirement Table

II. MWCB CR 3, FROI, Conditional Requirement Table
III. MWCB CR 3, Subsequent Report of Injury (SROI), Element Requirement Table
IV. MWCB CR 3, SROI, Conditional Requirement Table
V. IAIABC CR 3, Data Dictionary, 01/01/2010 Edition
VI. MWCB Proof of Coverage Element Requirement Table
VII. MWCB Proof of Coverage Conditional Requirement Table
VIII. IAIABC Proof of Coverage Release 2.1 Data Dictionary, 06/01/07 Edition

Copies of the Appendices may be requested by contacting the Workers' Compensation Board:

Workers' Compensation Board

27 State House Station

Augusta ME 04333-0027

Tel: 207-287-3818 or online at:

http://www.maine.gov/sos/cec/rules/90/chaps90-.htm

C.M.R. 90, 351, ch. 3, LIST OF APPENDICES