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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.

• Forms : Claim Forms

  Forms 30C and 30D, for making an official claim for workers' compensation benefits.

• Forms : Claim Forms

  Forms 30C and 30D, for making an official claim for workers' compensation benefits.

• Memorandum No. 2019-04

  Form 30C Revised

• Memorandum No. 2022-04

  Forms 30C and 30D Revised

• 30C

• notice 30c to WCC

• CT 30C Posting Notice

• 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.

• Read our Information Packet

  Our free 41-page Information Packet contains comprehensive information about every aspect of Connecticut's workers' compensation system.

• Workers compensation letter to send 30C

• What You Need to Do

  Five things you need to do, if you've had a work-related injury or been diagnosed with an occupational disease or illness.

• Memorandum No. 2001-10

  Revised Forms

• Amazon HFD5 - notice for location of filing Form 30C

• Amazon BDL4 - notice for location of filing Form 30C