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Petition for Award of Compensation

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PETITION FOR AWARD OF COMPENSATION - FATAL

STATE OF MAINE
WORKERS' COMPENSATION BOARD
27 STATE HOUSE STATION
AUGUSTA, MAINE 04333-0027

PETITIONER

NAME:

STREET/P.O. BOX:

CITY, STATE, ZIP:

TELEPHONE NUMBER:

EMPLOYER

NAME:

STREET/P.O. BOX:

CITY, STATE, ZIP:

INSURER

NAME:

STREET/P.O. BOX:

CITY, STATE, ZIP:

RELATIONSHIP TO DECEASED:

EMPLOYEE NAME:

DATE OF BIRTH:

EMPLOYEE SOCIAL SECURITY NUMBER: XXX-XX- (only last four digits required)

BOARD FILE NUMBER:

NOTICE

A party is not required to file a written response to this petition under 39-A M.R.S.A. §307(3). Upon notice of a claim for incapacity or death benefits, however, the employer/insurer must comply with the provisions of 90 MAR 351 Ch.1. §1 or the employee must be paid total benefits, with credit for earnings and other statutory offsets, from the date the claim is made in accordance with 39-A M.R.S.A. §205(2) and in compliance with 39-A M.R.S.A. §204.

1. On sustained a work-related

injury while working for

2. The injury occurred

3. Death resulted on

4. Dependents of deceased employee:

Name
Date of Birth
Relationship to Deceased

THEREFORE, the petitioner asks the board to order benefits pursuant to Title 39 or 39-A.

SIGNATURE OF PETITIONER

DATED:

FILING INSTRUCTIONS

  1. Mail original petition to the Workers' Compensation Board at the above address by regular mail.
  2. Mail one (1) copy by certified mail, return receipt requested to each other party named in the petition.
  3. Keep one (1) copy for yourself and keep the green certified mail cards when returned to you by the U.S. Post Office.

NAME OF PETITIONER'S ATTORNEY OR ADVOCATE (IF ANY)

STREET/P.O. BOX

CITY, STATE, ZIP

TELEPHONE NUMBER

The State of Maine provides equal opportunity in employment and programs. Auxiliary aids and services are available to individuals with disabilities upon request. For assistance with this form, contact the ADA Coordinator at the Maine Workers' Compensation Board. Telephone: (888) 801-9087 or TTY Maine Relay 711.

WCB-150 (eff. 1/1/13)

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What a Petition for Award of Compensation Is and When it’s Used

A Petition for Award of Compensation is a formal court filing requesting judicial approval to pay fees or reimbursement to a party who provided services or incurred costs on behalf of an estate, guardian, conservator, trustee, class representative, or other fiduciary. It documents the nature of services, the time period covered, itemized charges, and the legal basis for payment. Courts use the petition to confirm reasonableness, ensure notice to interested parties, and create an enforceable order directing payment from estate funds, settlement proceeds, or other authorized sources.

Why Filing This Petition Matters

Filing a Petition for Award of Compensation creates a transparent record, secures court approval for payment, protects fiduciaries from later disputes, and ensures compliance with local procedural rules that govern fee allowances and priorities.

Why Filing This Petition Matters

Who Typically Prepares or Signs This Petition

The petition is prepared by parties seeking court-authorized payment and by counsel representing fiduciaries.

  • Attorneys and law firms representing estates or class representatives who itemize professional fees and request allowance.
  • Personal representatives, executors, guardians, or trustees applying for reimbursement of costs and administrative compensation.
  • Claimants or administrators in settlements seeking a court order to allocate funds and approve distribution.

Courts, opposing parties, and interested persons review the petition; accurate preparation reduces objections and speeds resolution.

Step-by-Step: Preparing and Filing the Petition

Follow these core steps to compile documentation, prepare the petition, and move it through court review and payment.

  • 01
    Gather Documents: Collect invoices, time records, contracts, and authorizing orders.
  • 02
    Compute Request: Total fees, reimbursements, and supporting calculations in a clear schedule.
  • 03
    Draft Petition: Complete caption, recitals, itemized statement, and proposed order.
  • 04
    File and Serve: Submit to clerk and serve interested parties per local rules.

How to Configure a Digital Workflow for This Petition

Set up an e-filing and review workflow that matches court requirements and internal approval steps before filing.

Field Configuration
Signature Method eSignature (ESIGN/UETA) | Audit trail retained
Authentication Email + SMS or ID check | Match signer identity
Attachments Invoices | PDF exhibits merged with petition
Notifications Automated emails | Send to counsel and parties

Where to File and How to Route the Petition

Filing and routing depend on whether the court accepts electronic filing; follow local rules for service and notice.

  • Court Clerk Filing: E-file via the court portal or deliver paper to the clerk's office.
  • Service on Parties: Serve counsel and interested persons per local service rules.
  • Case Management Upload: Attach petition and exhibits into the case management system for docketing.
  • Payment Routing: If authorized, provide payment instructions for treasury or estate accounts.

Digital Submission and eSignature Considerations

Confirm the court and local rules on electronic filing and acceptable eSignature methods before submitting.

  • Integrations: Link with case management and document storage platforms
  • File Formats: PDF and PDF/A are preferred for court submissions
  • Security: TLS + AES-256 encryption and detailed audit trail

Maintain a compliance trail showing intent, consent, attribution, and retention to meet ESIGN/UETA standards and local court requirements; keep copies per retention rules.

Essential Sections to Include in a Professional Petition

A complete petition organsizes facts, legal authority, itemized charges, and a proposed court order in a clear, verifiable format for judicial review.

Caption

Case title, docket number, and court identification that ensures the document attaches to the correct matter and is docketed accurately.

Recitals

Concise background statements establishing authority to request payment, referencing prior orders, appointments, or settlement terms.

Statement of Services

Narrative of work performed, date ranges, and purpose, linking tasks to case progress and outcomes for reasonableness review.

Itemized Billing

A table or exhibit showing hours, rates, expenses, and totals; attach invoices and time entries for verification.

Declaration

A signed verification under penalty of perjury or affidavit attesting to accuracy, admissibility of charges, and completeness of exhibits.

Proposed Order

Draft order the judge may sign authorizing payment, specifying amounts, source of funds, and disbursement instructions.

Critical Data Elements to Verify Before Filing

Case Number: Exact docket identifier
Court Name: Complete court caption
Petitioner: Full legal name
Respondent / Estate: Correct party name
Amount Requested: Numeric currency value
Supporting Exhibits: Invoices and declarations

Common Mistakes That Slow or Defeat Approval

  • Submitting an unspecific or unitemized amount without invoices, which invites objections and extended review by the court.
  • Using inconsistent names or case numbers across documents, causing clerks to misfile or reject the petition for correction.
  • Failing to serve required parties or to comply with local notice periods, resulting in continuances or voidable orders.
  • Omitting a signed declaration or failing to use the correct verification language required by the court, which may invalidate the petition.

Potential Consequences of Errors or Misstatements

Fee Denial: Court may refuse payment
Repayment: Ordered refunds if improper disbursement occurred
Sanctions: Court fees or professional discipline possible
Extended Litigation: Objections trigger hearings and delay
Tax Reporting: Unreported payments may have tax consequences
Record Rejection: Clerk may reject defective filings

Typical Timelines and Scheduling Expectations

Timelines vary by court; these are common stages from filing to payment to help set expectations for planning and notice.

Filing to Docketing:

Clerks typically docket within 1–7 business days

Service Period:

Service often required within 7–21 days of filing

Objection Window:

Parties commonly have 14–30 days to object

Hearing Scheduling:

If contested, hearings are scheduled in weeks to months

Payment Timing:

Payment follows signed order; disbursement may take 14–60 days

Real-World Examples of Petition Use

These brief examples show how organizations documented compensation requests and the outcomes achieved in practice.

Optica Ventures (COO)

An in-house team documented consulting hours and expenses for investor-related services

  • Itemized cost exhibit provided
  • The interface was straightforward and the petition returned approved payment promptly, reducing follow-up questions from fund stakeholders.

Fertility Centers of Illinois

Operational directors compiled vendor invoices and staff time entries

  • Consolidated exhibits reduced review time
  • airSlate SignNow enabled consistent signer attribution and a robust audit trail for the court and institutional record.

Typical eSignature Pricing and Feature Comparison for This Petition

Compare common vendor starting prices and feature availability relevant to preparing, signing, and delivering petitions and supporting exhibits.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Who Typically Signs and Approves the Petition

Authorized Signer — Attorney

Attorneys sign to attest to the reasonableness of fees and to verify compliance with court rules; their signature often carries professional verification and may be followed by a declaration under penalty of perjury.

Authorized Signer — Personal Representative

Executors, trustees, or conservators sign to request payment from estate or trust funds and to confirm accuracy of attachments and accounting records supporting the petition.

Practical Tips for Accurate and Efficient Completion

Follow these practices to reduce objections, speed review, and improve the chance of timely payment.

Use a Single Consolidated Exhibit
Attach a clear, itemized exhibit that ties each invoice or time entry to the petition line items, minimizing reviewer effort and reducing follow-up inquiries.
Verify Case Metadata
Confirm the case number, court caption, and party names match docket entries exactly; clerks commonly reject filings for mismatched metadata.
Record Proof of Service
Include certificates of service or affidavit of mailing in the filing to demonstrate required notices were completed under local rules.
Preserve Audit Trails
Retain electronic audit logs showing signer identity, timestamp, and IP address to support attribution and meet ESIGN/UETA standards.

Frequently Asked Questions About Petitions for Award of Compensation

Answers to common questions about preparation, eSigning, filing, and post-order steps for petitions seeking fee awards.


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