All Connecticut Workers Compensation forms

Workers Compensation - Claims

• Checklists - Worker's Compensation Claims US-04076BG

Workers Compensation - Discovery

• Requests for Production of Documents to Carrier US-01367
• Claimant's First Set of Requests for Production US-01366
• Claimant's First Set of Interrogatories to Employer and Carrier US-01365

Workers Compensation - Injury and Claims

• Notice of Work-Related Injury and Claim for Worker's Compensation US-01495BG

Workers Compensation - Injury Reports

• Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State US-01494BG

Workers Compensation - Insurance

• Agreement of Employee Service Provider to Maintain Workers Compensation Insurance US-01625BG

Workers Compensation - Official - Agreements

• Voluntary Agreement CT-1-WC

Workers Compensation - Official - Appearances

• Notice of Appearance 1st CT-002-WC

Workers Compensation - Official - Claims

• NOTICE of CLAIM FOR COMPENSATION (EMPLOYEE TO COMMISSIONER AND TO EMPLOYER CT-30C-WC

Workers Compensation - Official - Contests

• Notice To Compensation Commissioner And Employee of Intention To Contest Employees Right To Compensation Benefits CT-43-WC

Workers Compensation - Official - Coverage

• Coverage Election by Employee who is an Officer of a Corporation or a Manager of an LLC CT-6B-WC

Workers Compensation - Official - Dependents

• Mandatory Notice to Dependents by Employer or Insurer to be filed upon Death of Employee who is receiving Weekly Disability Benefits CT-98-108-WC

Workers Compensation - Official - Discontinuances

• Notice of Intention to Reduce or Discontinue Payments CT-36-WC

Workers Compensation - Official - Exemptions

• Filing Status and Exemption Form CT-1A-WC

Workers Compensation - Official - Hearings

• Hearing Request CT-001-WC

Workers Compensation - Official - Inclusions

• Coverage Election by Sole Proprietor CT-75-WC

Workers Compensation - Official - Physicians

• Physicians Permanent Impairment Evaluation CT-42-WC

Workers Compensation - Official - Rehabilitation

• Rehabilitation Request CT-011-WC

Workers Compensation - Official - Reviews

• Petition For Review CT-010-WC

Workers Compensation - Questionnaires

• Workers Compensation Questionnaire US-Q1038