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Workers Compensation Claim Kit - Maine - Berkshire Hathaway

Workers Compensation Claim Kit - Maine - Berkshire Hathaway 2025

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The document is a petition submitted to the Maine Workers' Compensation Board by an employee alleging discrimination by their employer for asserting a claim related to a work-related injury. It outlines the necessary information for filing the petition, including details about the employee, employer, and specifics of the alleged discrimination. The document also provides filing instructions and emphasizes the state's commitment to equal opportunity in employment.

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Click ‘Get Form’ to open the Workers Compensation Claim Kit in the editor.
Begin by entering your personal information in the designated fields, including your name, address, and telephone number. Ensure accuracy as this information is crucial for processing your claim.
Fill in the employer's details in the corresponding sections. This includes their name, address, and any relevant contact information.
Provide the date of birth and the last four digits of your Social Security Number. This information helps verify your identity without compromising privacy.
In the section regarding discrimination, clearly explain how you believe your employer discriminated against you. Be specific and concise to strengthen your case.
Sign and date the petition at the bottom of the form. This confirms that all provided information is accurate to the best of your knowledge.
Follow the filing instructions carefully: mail the original petition to the Workers’ Compensation Board and send copies as required.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How does Berkshire Hathaway handle claims?

BHHC provides its insureds and brokers with an 800-number and fax number, which offers 24/7 access for new claim reporting and claim handling for catastrophic loss claims. We also offer online claims reporting via email and our website.

What not to say to Workmans Comp?

What Not to Say to a Workers Comp Doctor Avoid Downplaying Your Injury: Dont minimize your pain or discomfort. Dont Speculate on Recovery Time: Do not make guesses about how quickly you will recover. Stay Away from Absolute Statements: Do not use words like always or never when describing your symptoms.

How do I make a claim with Berkshire Hathaway?

Phone, Fax, or Email Toll-free: (800) 661-6029. Fax: (800) 661-6984. Email: newclaim@bhhc.com.

What is needed for a workers compensation claim?

Usually, the employer is responsible for sending the claim form and all supporting documentation to the workers comp insurance carrier, but the employees doctor will also need to submit a medical report.