Insurers Hearing Memorandum {162}

FORM 162 - INSURER’S HEARING MEMORANDUM. This form is used by counsel for the insurer in Massachusetts to prepare for a hearing with the Department of Industrial Accidents. It requires the insurer’s attorney to provide detailed information about the case, including the date, board number, employee and employer details, insurer, date of injury, and contact information for the involved parties. The form outlines the specific issues to be addressed at the hearing, such as liability, disability extent, causal relationship, and entitlement to various benefits. It also lists stipulations of fact, witnesses, exhibits, and medical reports to be presented, along with any request to depose medical professionals. www.FormsWorkflow.com