Αποτελέσματα Αναζήτησης
13 Ιουλ 2009 · All parties within the State of Connecticut's workers' compensation system should use the official forms provided here, in order to ensure the documents you use are: up-to-date; accurate; and. meet statutory requirements.
- Stipulations & Commutations
The Workers' Compensation Commission's recommendation of...
- Claim Forms
The Form 30C is to be completed and filed by a claimant...
- Insurance Forms
Insurance Forms Form 36. PDF File: 1 page; Last revised...
- Employer Forms
Notice to Employees. PDF File: 1 page; Last revised October...
- Worksheets
Record of Employment Contacts. PDF File: 1 page; Last...
- Voluntary Agreement Forms
Voluntary Agreement Forms Voluntary Agreement. PDF File: 2...
- Coverage Election Forms
Coverage Election Forms Form 6B, 6B-1 and 75 Directions. PDF...
- Stipulations & Commutations
14 Ιουν 2024 · The Form 30C is to be completed and filed by a claimant (employee) or claimant's attorney/representative for making a claim for workers' compensation benefits. The Form 30C includes a map of Connecticut's 169 cities and towns and their respective workers' compensation districts, as well as instructions for completing and filing this form and a ...
5 ημέρες πριν · If a form, or information has been submitted and is not yet present on a report(s), please check back the next business day. Claim Lookup Enter Claim Number OR
Municipal employees, like any other employees, must file a 30C Form in order to file an official workers’ compensation claim; if a municipal employee elects to file a 30C Form, then he or she must send the 30C Form to the town clerk of the municipality in which he or she is employed.
Claim Lookup. Displays information about a particular claim, such as forms filed, hearings which have been held, are scheduled to be heard or are awaiting scheduling. It also will list interested parties to the claim. Hearing Docket.
2 Ιουν 2022 · State of Connecticut Workers’ Compensation Program (WC), providing benefits to workers who get injured or develop illness and during the course of their employment with the State of Connecticut. The program is self-insured and utilizes a Workers’ Compensation Commission
23 Νοε 2023 · To file a workers’ compensation claim in Connecticut, you must complete Form 30C, send the original to your employer, and send a copy to the Workers’ Compensation Commission District Office. While filing a workers’ compensation claim should be straightforward, getting the benefits you deserve can sometimes be challenging.
