Employee Biographical Data - Form 160 - Mass.Gov - mass 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field (Last, First, MI). Ensure accuracy as this is crucial for identification.
3. Fill in your Social Security Number and Home Telephone Number. Note that providing your Social Security Number is optional but can expedite processing.
4. Complete your Home Address, Date of Birth, Place of Birth, and Date U.S. Domicile Established. Double-check these details for correctness.
5. Indicate your Marital Status and provide your spouse's name and occupation if applicable.
6. List the names and ages of your children. If you have more than six children, attach an additional sheet.
7. In the Education section, provide the name and address of the last school attended along with the highest grade completed or date of graduation.
8. Detail any military service information including branch, rank, and dates of service.
9. For Work History, start with your most recent employer. Fill in all required fields including job descriptions for each position held.
10. Complete the Medical Data section related to any industrial injury by providing treatment dates and physician details as necessary.

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