Request For Expedited Proceeding {WCB-250}

WCB-250 - REQUEST FOR EXPEDITED PROCEEDING. This form is used by the Maine Workers' Compensation Board to request an expedited proceeding for workers' compensation cases under certain circumstances. The form includes fields for information such as the insurer file number, social security number, employer name and address, insurer name and address, date of injury, description of injury, and the reason for requesting an expedited proceeding. The requesting party must sign the form and provide their name, address, and telephone number. www.FormsWorkflow.com