This government document is issued by Department of Industrial Accidents (DIA) for use in Massachusetts
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https://www.mass.gov/doc/form-116b-addendum-to-lump-sum-agreement-vocational-rehabilitation-status/download?_ga=2.187595048.1854129817.1751542062-2000327536.1747311789&_gl=1*j67szn*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NTE1NDIwNjIkbzY4JGcwJHQxNzUxNTQyMDYyJGo2MCRsMCRoMA..