Combine Legal Connecticut Workers' Compensation Forms For Free

The Form 43 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Administrative Law Judge, the claimant (employee/decedent), and all parties to the claim of its intention to deny the compensability of all or part of the claimant's claim to workers' compensation benefits.

The Form 36 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Workers' Compensation Commissioner, the claimant (employee/decedent), and all parties to the claim of its intention to reduce or discontinue payment of the claimant's workers' compensation benefits.

The Form 6B is to be completed by an Officer of a Corporation or a Manager of a Limited Liability Company (LLC) who wishes to be excluded from workers' compensation insurance coverage. It is also used for such an officer or manager to revoke any previous election of exclusion from workers' compensation coverage.

How Does Workers' Comp Work in CT? Workers' compensation in CT requires employees to immediately report an injury or illness to their employer. The state requires all employing state agencies to accept all injury reports. State agencies can't keep an employee from filing a workers' comp claim.

If you've been hurt on the job or are diagnosed as having a work-related disease, you should file a claim for workers' compensation as soon as possible. Connecticut's Form 30C is the official form that the Workers' Compensation Commission uses for this purpose.

The Form 42 is to be completed by the examining licensed physician to report a claimant's permanent partial loss or loss of use of a body part, as well as the likely date of the claimant's maximum medical improvement.