Employer Applications

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Employer Medical Care Application (PDF) and Information

Information package for employers wishing to apply for approval to provide medical care and treatment for their injured employees by means of a medical care plan under the Workers’ Compensation Act, along with the required forms and documents.


Employer Safety and Health Committee Information Package (PDF)

Implementation of Safety & Health Connecticut Administrative Regulations 31-40v-1 through 31-40v-11

Information package to assist employers in complying with the state’s Safety & Health Committee regulations, along with the Commission’s required Inspection Form.


Employer Self-Insurance Application (PDF) and Information

Information package for employers wishing to self-insure their workers’ compensation liabilities, along with the required forms and documents.