Get workers’ compensation forms and resources

The Workers’ Compensation Commission (WCC) helps resolve workers’ comp disputes. We provide resources for everyone who’s part of that process.

Below you’ll find links to specific items you may need:

  • Records and Information Request Service
  • Coverage Verification Service
  • Forms, including Form 1A: Filing Status and Exemption
  • Guides and Requirements
  • Information about the workers’ comp system
  • How to get licensed
  • Other helpful links
Learn about workers' comp insurance and polices  

Helpful links for insurers and medical providers

Records and Information Request Service 

Use our GovQA portal to ask for copies of documents. This includes first reports of injury, claim forms, and case records.

Coverage Verification Service 

See if an employer had workers’ comp coverage when a worker was injured or diagnosed.

Benefit rates 

Get benefit rate tables, weekly wages, and other workers’ comp rates.

Report fraud 

Learn how to recognize and report workers’ compensation fraud.

Guides for insurance and medical providers

Medical protocols (PDF) 

Find recommendations for the treatment of certain workers’ comp injuries.

Payor and medical provider guidelines (PDF) 

Review guidelines for the coordination of care between insurers and medical providers.

Professional guide for insurers, physicians, and others (PDF) 

Learn about the roles of medical and legal professionals in the workers’ comp system.

CT’s workers’ compensation system

Learn about the workers’ comp system and disputes

Learn how WCC helps workers and employers resolve disputes. Read our Information Packet to get details about the workers’ compensation system.

Medical providers

Forms and fees for medical providers

Medical providers play a key role in the workers' compensation system. Here’s how you help in every stage:

  • Diagnose and treat workplace injuries and illnesses
  • Document the injury or illness, treatment plan, and the patient’s progress and work status
  • Perform Commission Medical Exams (CMEs) and Respondent Medical Exams (RMEs) when requested
  • Provide detailed reports and evaluations of the patient

Use the workers’ comp forms and fees links below. Certain forms can now be submitted electronically via our GovQA Platform. 

Forms and fees for workers’ comp medical providers

Touch screen hand

Get fee schedules and forms

Below are useful links for medical providers within the workers' comp system. Included are the professional guides, which contain fees for some workers' comp medical examinations, as well as guidelines for providers. Ordering information for practitioner and facility fee schedules can be found under “Fee Schedules." If you don’t see the form you need below, click on the link for all workers' comp forms. See above for links to professional guides for medical providers.

Find licensing help

Treat injured workers

WCC allows any provider who is licensed by the State of Connecticut and willing to comply with its fee schedules and guidelines to practice within the system. For assistance with licensing, contact the Department of Public Health.

Requirements for workers’ comp medical providers

Review key regulations

For further information on the obligations and requirements of medical providers in the system, providers and facilities should review Connecticut General Statutes Sec. 31-294d as well as Regulations for Connecticut State Agencies Sections 31-279-9 (obligations of attending physicians) and 31-280-1 (standards for medical providers).

Insurance companies and producers

Get workers’ compensation forms

Insurance plays an important role in the workers' compensation system. You provide financial protection to employers and workers. You cover the costs of work-related injuries and illnesses, including:

  • Medical expenses
  • Lost wages
  • Other related costs

Insurers often use the forms below. Certain forms can now be submitted electronically via our GovQA Platform. 

Sell workers’ compensation insurance in CT

Get licensed by the CT Insurance Department (CID)

The CID can help you get licensed to sell workers’ comp insurance in CT. They also license insurance adjusters. Visit CID’s licensing home page to learn more. It includes a list of companies with courses and materials to help producers and adjusters pass their exams. CID also sets workers’ comp rates (premiums) after consulting with the National Council on Compensation Insurance (NCCI). CID posts the rates annually on their Commissioner’s Orders & Decisions page.

Contact CT WCC