Workers' Compensation

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Agreements

By submitting this form I hereby acknowledge that I am eligible to have access to Workers' Compensation eService as approved by my HR, Payroll, CFO or Workers' Compensation Director and/or Agency Head.
Please read the Confidentiality Agreement below. I hereby agree that I will not at any time either during my employment or association with the Commonwealth of Massachusetts, or after my employment or association ends – use, access or disclose any information including Public Health Information to any person or entity, internally or externally, except as it is required and permitted in the course of my duties and responsibilities with the Commonwealth of Massachusetts. I understand that Public Health Information is defined as any individually identifiable health information that is transmitted or maintained in any form or medium, electronic, oral or written. I understand that this obligation extends to all information including that I may acquire during the course of my employment or association with the Commonwealth of Massachusetts whether in oral, written or electronic form and regardless of the manner in which access was obtained. I understand that all access and information viewed is my responsibility and that many critical applications have audit trails that maintain a log of user activity. I also understand that I may not use or disclose any information obtained, including Public Health Information, without authorization. I understand that this obligation to maintain confidentiality will continue if I leave my current position or if I terminate my employment with the Commonwealth. Upon either of these events occurring, I agree to immediately contact the WC eServices Coordinator at WC-eServices@hrd.state.ma.us to have my access terminated. Check the box below.
By checking this box I hereby acknowledge that I have read and agree to uphold the standards as defined by the confidentiality agreement.

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Agreements