Employer Applications

  Employer Medical Care Application

_{PDF File:  23 pages; Last revised October 1, 2021}
 

Employer Medical Care Application Information Packet

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 File:  5 pages; Last revised March 25, 1998}
 

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 File:  25 pages; Last revised August 24, 2022}
 

Information on Self-Insurance

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

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