Memorandum No. 2020-16

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A period of extremely frigid temperatures is forecast to impact Connecticut between the afternoon of Saturday, December 21, through Tuesday, December 24. Governor Lamont is activating the state's severe cold weather protocol during this period. To locate a shelter or warming center in Connecticut, call 2-1-1 or visit 211ct.org.

MEMORANDUM NO. 2020-16

Stipulation Questionnaire Revised

TO:	WCC Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, and Advisory Board Members
FROM:	Stephen M. Morelli, Chairman
DATE:	September 18, 2020
RE:	Stipulation Questionnaire Revised

The Commission's Stipulation Questionnaire has been revised, effective September 18, 2020. Please use this newest revision of the Stipulation Questionnaire, which can be obtained below or from our Online Forms page.

Stipulation Questionnaire
_{(PDF File: 1 page; Last revised September 18, 2020)}

State of Connecticut Workers' Compensation Commission

MEMORANDUM NO. 2020-16

Stipulation Questionnaire Revised