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Page 3 of 63
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Opinions pertaining to Sec. 31-275(1). Arising out of and in the course of employment.
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2015 CRB re: 31-301 Factual Findings
Opinions pertaining to Sec. 31-301. Factual findings.
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Opinions pertaining to Sec. 31-294c. Notice of injury. Preclusion of compensation defenses to liability.
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Workers' Compensation Regulations
Detailed directions and requirements to be followed as part of implementing the workers' compensation statutes to which they relate, these administrative regulations carry the force of law.
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Unofficial, but useful, claimant worksheets.
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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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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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Form WCR-1, rehabilitation program application form.
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Forms : Voluntary Agreement Forms
Voluntary Agreement (VA) and Filing Status And Exemption (1A) forms.
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Application materials for employers to apply to operate a workers' compensation Medical Care Plan, to Self-Insure their workers' compensation liabilities, and to meet Employer Safety & Health Committee requirements.
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Forms : Stipulation & Commutation Forms
Stipulation Approval Procedure, Stipulation And What It Means, Stipulation TO DATE And What It Means, Stipulation Questionnaire, and Commutation And What It Means forms.
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Forms 36 and 44, dealing with insurance aspects of workers' compensation.
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Forms 30C and 30D, for making an official claim for workers' compensation benefits.
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Notice to Dependents of Decedents
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Claimants’ Attorneys’ Fees