Agreement Under Section 37 Or 37A {123}

Form 123 - AGREEMENT UNDER SECTION 37 or 37A. This form is used to establish an agreement for reimbursement claims under Section 37 or 37A of Massachusetts workers' compensation laws. These sections typically pertain to reimbursement claims for insurers after an employee sustains an injury. The form documents essential details about the employee, employer, insurance carrier, compensation amounts, and whether the employee continues to receive benefits. It requires signatures from authorized parties to validate and approve the reimbursement. www.FormsWorkflow.com