Home → Insurance Coverage → Independent Contractor
Independent Contractor Statement
ATTN: Coverage Department
27 State House Station
Augusta, ME 04333-0027
WCB-267: Printable Independent Contractor Statement
Online filing is the preferred method for submitting the Independent Contractor Statement, however, the above printable version is available for those who do not have access to a computer or smart phone. Once completed, the form may be hand-delivered or mailed to:
Workers' Compensation BoardATTN: Coverage Department
27 State House Station
Augusta, ME 04333-0027
Confirmation of receipt will not be sent. Please visit the Independent Contractors webpage to view a listing of statements received.
For questions regarding Independent Contractor Status, please email ICS.WCB@maine.gov or call (207) 287-3751.