MEMORANDUM NO. 2007-07

Form 36

 


TO: Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, Legal Advisory Panel and Advisory Board Members
FROM: John A. Mastropietro, Chairman
DATE: September 24, 2007
RE: Form 36

 

Pursuant to the P.A. 07-80 effective October 1, 2007, the "Notice of Intention to Reduce or Discontinue Payments" (Form 36) has been revised, as has the timetable during which an objection may be filed.

For your convenience, this revised form can be filled out and downloaded from our website where it will be available beginning October 1, 2007:

https://portal.ct.gov/-/media/WCC/forms/insurance-forms/36.pdf