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Forms : Coverage Election Forms
Forms 6B, 6B-1, and 75, used for certain employees to elect to be covered under the Connecticut Workers’ Compensation Act or when revoking a previous election of such coverage.
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Forms 43, 98, and First Report of Injury (FRI), as well as the state's required "Notice to Employees" to be posted in all employer workplaces in Connecticut.
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Commission Examination Procedure - Effective August 22, 2022
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Commission Examination Procedure UPDATE - Effective September 1, 2022
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Average Weekly Wage, Maximum Compensation Rate, and Cost-of-Living Adjustments
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Online services offered by the Workers' Compensation Commission.
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Calculating Weekly Benefit Amounts without FICA and/or Medicare Deductions
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Workers’ Compensation Benefit Rate Tables: October 1, 2022-September 30, 2023
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Findings and Awards by Stipulation with allocations for future medical expenses, including Medicare Set-Asides, or with allocations of indemnity benefits.
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Update to Professional Guide for Attorneys, Physicians, and Other Health Care Practitioners Guidelines for Cooperation (Role of Physician Assistants and Advanced Practice Registered Nurses)
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2020 WCC Hospital and Ambulatory Surgical Center Fee Schedule
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Commission Memorandums 2018-01 through 2018-11
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Opinions pertaining to Sec. 31-299b. Apportionment; liability of last employer.
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2017 CRB re: 31-301 Appeal Procedure
Opinions pertaining to Sec. 31-301. Appeal procedure.