Workers' Compensation Policy & Procedures

Work related injury claims are governed by various rules, based on your employee role (police, fire, etc.) at the time of the injury.

Please refer to the following documents for applicable ordinances, checklists, and forms which you should review, download, complete, and submit in a timely manner:

Police Related Documents

  1. General Order 95-08 (PDF)
  2. Injury Leave Checklist (PDF)
  3. Injury Pay Employment Policy (PDF)
  4. MGL Ch41 s100 (PDF)
  5. MGL Ch41 s111F (PDF)
  6. Officer Injury Report (PDF)
  7. Police Authorization To Release Medical Information (PDF)
  8. Police Indemnification Of Medical Expenses (PDF)
  9. Supervisors Report (PDF)

Fire Related Documents

  1. Fire Authorization To Release Medical Information (PDF)
  2. Fire Indemnification Of Medical Expenses (PDF)
  3. Firefighter Injury Report (PDF)
  4. General Order XXXIX (PDF)
  5. Injury Leave Checklist (PDF)
  6. MGL Ch41 s100 (PDF)
  7. MGL Ch41 s111F (PDF)

Retired Police/Fire Related Documents

  1. MGL Ch41 s100B (PDF)
  2. Retired Fire Police Indemnification Of Medical Expenses (PDF)

City/School Related Documents

  1. Employee Injury Report Form (PDF)
  2. Employee Injury Reporting Procedure (PDF)
  3. General Authorization To Release Medical Information (PDF)
  4. Payroll Deduction Authorization (PDF)
  5. Steps For Benefits (PDF)