Laws & Regulations
The Workers’ Compensation Act provides for wage replacement, medical treatment, and related benefits for employees injured, disabled, or killed on the job.
State of Connecticut Workers' Compensation Commission
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FORM: 30C - Notice of Claim for Compensation
Workers' Compensation Commission "FORM: 30C - Notice of Claim for Compensation" is to be completed and filed by a claimant (employee) or claimant's attorney/representative to make a claim for workers' compensation benefits.
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Forms 30C and 30D, for making an official claim for workers' compensation benefits.
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Form 30C Revised
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Forms 30C and 30D Revised
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Our free 41-page Information Packet contains comprehensive information about every aspect of Connecticut's workers' compensation system.
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Information for State Employees
Information for State of Connecticut employees who may have been injured on the job or diagnosed with an occupational disease or illness.
