Workers Compensation

INJURY REPORTING 

*Complete forms below and send to Human Resources as soon as possible (humanresources@ashlandmass.com).


  • Chubb-Notice of Claim (POLICE & FIRE ONLY)
  • MIIA Form - (All Other Employees) 
  • MIIA Medical Authorization Form

Forms

  1. POLICE and FIRE: Chubb Notice of Claim (Fillable)
  2. MIIA Injury Reporting Form
  3. MIIA Medical Authorization.doc