Form 127: Massachusetts Average Weekly Wage Computation Schedule

Form 127 PDF Details

The employer or preparer signs a true copy of the payroll record of the above named employee or fellow employee in the same class of employment.

Less than 52 weeks: report wages from the time worked.

Fellow employee: for the remaining weeks, substitute wages of a fellow employee in the same class of employment who has worked for one year or more.

Tips and benefits: if tips or other benefits were earned, describe and state value per week.

Veterans: whether the employee has been certified by U.S. Veterans Administration for any type of disability.