Get workers’ comp forms

The Connecticut Workers' Compensation Commission (WCC) has all the official forms you need. WCC’s main mission is to resolve disputes and provide services under CT law. Please note, WCC can’t give legal advice or pay benefits. We don’t provide or authorize medical treatment. If benefits are delayed or denied, you may want to request a hearing with a WCC administrative law judge.

The Connecticut Workers’ Compensation Commission recommends you use these forms to make sure your paperwork is:

• Up to date
• Correct
• Follow the State’s laws

Most forms are PDFs you can fill out online, print, and save. Others, including Coverage Election Form 6B, you can send using our Electronic Submission Service.
You can find forms, including Form 30C for workers to file a claim, directions, and worksheets below.

Form 30C is one of the most important workers’ compensation forms.

• Use Form 30C if you get hurt or sick at work.
• It tells your employer and WCC that you want to file a claim.
• Filing a Form 30C may protect your rights.
• It may help you get medical care and payments quicker while you recover.

Find employer forms and applications here. They help you keep your workplace healthy and safe.

Important forms, applications, and materials include:

• Employer Safety and Health Committee Package: Includes an inspection form and instructions for a safe workplace.
• Notice to Employees: Post your location where employees can file their workers’ comp claim.
• Hearing Request forms: File one if there is a dispute regarding a claim.
• Self-insurance and managed care plans: Learn about self-insurance and managed care plan applications.