Private Trust Assessment
To make payments online:
  1. Enter your account number
  2. Select the payment type and enter a payment amount - Please click here for our ACH FAQ
  3. Confirm your entries
  4. On approval, print the confirmation page for future reference
  5. If you need assistance with this payment, please contact:

    Nancy Moran
    617-626-5469
    or
    Neal Shah
    617-626-5905
    Dept. of Industrial Accidents

Payment Data Entry

(All Fields Are Required)

Step 1 Of 4

Invoice Number
Confirm
Invoice Number
NAIC Number
Preparer's Phone
Example: 8005551212
Company Name
Preparer's Name
Preparer's Title