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NOTICE TO EMPLOYEESState of Connecticut Workers Compensation CommissionRevised 10012017The Workers Compensation Act (Connecticut General Statutes Chapter 568) requires your employer, West Hartford
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West Hartford Health Amp is a standardized form used to report health information such as vaccination status, symptoms, and exposure to COVID-19.
All residents of West Hartford are required to fill out and submit West Hartford Health Amp form.
To fill out West Hartford Health Amp form, individuals need to provide accurate information about their health status, symptoms, vaccination records, and any exposure to COVID-19.
The purpose of West Hartford Health Amp is to monitor and track the health status of the residents in West Hartford to prevent the spread of COVID-19.
Information such as vaccination records, symptoms, exposure to COVID-19, and general health status must be reported on West Hartford Health Amp.
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