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Workers’
Compensation Board
27
State House Station
Tel:
207-287-3751; TTY 1-877-832-5525; Fax: 207-287-7198
Web
Site: http://www.maine.gov/wcb
WORKERS’ COMPENSATION BOARD FEE SCHEDULE
EFFECTIVE January 18, 2011
The following fee schedule is authorized by P.L.
1993, Chapter 145, section 152, subsection 14.
|
|
ITEM |
MEDIA |
COST* |
|
1. |
Facts About |
Pamphlet Available on Internet |
$.50 |
|
2. |
|
Booklet Available on Internet |
$5.00 |
|
3. |
Weekly Benefit
Table |
Booklet (all prior year tables) All years available on Internet Current Year Table at |
$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 |
CD Available on Internet 2006 Booklet |
$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. |
Workers’ Compensation
Board Rules and Regulations |
Paper Available on Internet |
$10.00 |
|
12. |
Board Minutes Subscription
runs from 7-1 through 6-30 |
Paper Available on Internet |
$100.00 |
|
13. |
Board Minutes
with Index Subscription
runs from 7-1 through 6-30 |
Paper |
$150.00 |
|
14. |
Board Review
Subscription (Annual) |
Paper |
$75.00 |
|
15. |
Forms &
Petitions Manual |
Paper Available on Internet |
$10.00 |
*Includes postage and handling. Costs are subject to change without
notice. CHECKS MUST BE MADE PAYABLE TO: TREASURER, STATE OF
** Quantities may be reproduced locally or are
available through Gossamer Press, Attn: Linda Fuller,