Memorandum No. 1999-18

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Far below normal precipitation has caused a drought and increased fire danger levels. All of Connecticut is currently in a Stage 2 Drought Advisory. Residents are encouraged to be mindful of water consumption and use extra caution to prevent fires. An emergency burn ban remains in effect at all state parks, forests, and wildlife management areas, prohibiting the use of all outdoor grills, firepits, campfires, etc.

MEMORANDUM NO. 1999-18

VOLUNTARY AGREEMENT FORMS

TO:	Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, Medical Practitioners, and Advisory Board Members
FROM:	John A. Mastropietro, Chairman
DATE:	November 17, 1999
RE:	VOLUNTARY AGREEMENT FORMS

The Workers' Compensation Commission will accept the following voluntary agreement forms:

GREEN for all injuries up to and including September 30, 1991
ORANGE for all injuries between October 1, 1991 and June 30, 1993*
GOLDENROD for all injuries between July 1, 1993 and June 30, 1995*
BLUE for all injuries occurring on or after July 1, 1995

* Please note that Memorandum No. 1999-13, dated July 22, 1999, incorrectly omitted the orange form.

[NOTE: This form is available from our website or any district office.]