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-117-lump-sum-settlement-agreement-for-injuries-on-or-after-1111986-0/download?_ga=2.11476276.1854129817.1751542062-2000327536.1747311789&_gl=1*1kivpva*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NTE1NDIwNjIkbzY4JGcxJHQxNzUxNTQ1MjQxJGo2MCRsMCRoMA..