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Laws & Regulations
The Workers’ Compensation Act provides for wage replacement, medical treatment, and related benefits for employees injured, disabled, or killed on the job.
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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 30C and 30D, for making an official claim for workers' compensation benefits.
Forms 30C and 30D, for making an official claim for workers' compensation benefits.
Form 30C Revised
Forms 30C and 30D Revised
Our free 41-page Information Packet contains comprehensive information about every aspect of Connecticut's workers' compensation system.
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.
Five things you need to do, if you've had a work-related injury or been diagnosed with an occupational disease or illness.
Revised Forms