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JOINT PETITION Send original and 1 copy to the Workers Compensation Commission In re Claim of:(Please type or Print ALL information legibly in ink.)WORKERS COMPENSATION COMMISSION 1915 NORTH STILES
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How to fill out connecticut workers compensation commissionconnecticut

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How to fill out connecticut workers compensation commissionconnecticut

01
Obtain the necessary forms (Form 30C or Form 30D) from the Connecticut Workers' Compensation Commission website.
02
Fill out the forms with accurate information about the injury or illness sustained while on the job.
03
Include details about the employer, date of injury, description of the incident, and any medical treatment received.
04
Submit the completed forms to the Connecticut Workers' Compensation Commission either online or by mail.
05
Keep copies of all documents for your records and follow up with the Commission as needed.

Who needs connecticut workers compensation commissionconnecticut?

01
Employees who have sustained work-related injuries or illnesses in Connecticut
02
Employers who have employees that may be eligible for workers' compensation benefits in Connecticut
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The Connecticut Workers Compensation Commission is a state agency that oversees the workers' compensation system in Connecticut, providing benefits to employees who are injured on the job.
Employers in Connecticut who have one or more employees are required to file with the Connecticut Workers Compensation Commission to ensure proper coverage for work-related injuries.
To fill out the forms for the Connecticut Workers Compensation Commission, employers should gather the necessary employee information, details of the incident, and follow the specific filing instructions provided on the Commission's website.
The purpose of the Connecticut Workers Compensation Commission is to ensure that injured workers receive appropriate medical benefits and compensation for lost wages due to work-related injuries.
Information that must be reported includes employee details, nature of the injury, date and time of the incident, and any medical treatment provided.
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