WebEmployee's Claim for Compensation (Form Number - LS-203; Agency - Office of Workers' Compensation Programs - Division of Federal Employees', Longshore and Harbor Workers' Compensation) Employer Report (Form Number - LM-10; Agency - Office of Labor-Management Standards) WebJun 1, 2024 · Claim Forms Form 30C. PDF File: 4 pages; Last revised June 1, 2024 . Notice of Claim for Compensation (Employee to Administrative Law Judge and to Employer). The Form 30C is to be completed and filed by a claimant (employee) or claimant's attorney/representative for making a claim for workers' compensation …
The Jonus Group, LLC Senior Workers
WebOffice Assistant. State of Connecticut - Workers Compensation... 3.9. New Haven, CT. $46,034 - $60,398 a year. Full-time. Monday to Friday. The WCC is a quasi-judicial agency responsible for the adjudication of disputed workers ' compensation claims and administration of various programs. Posted 3 days ago ·. More... WebAs soon as you have been notified of a work-related injury, please fill out this form and submit it to the following address: Workers’ Compensation Commission, 21 Oak Street Hartford, CT 06106-8011. First Fill Form. This form provides your employees with basic information about our Pharmacy Benefit Program, including such things as the phone ... liswa library catalogue
Forms U.S. Department of Labor - DOL
WebMay 26, 2024 · Connecticut Workers' Compensation Commission. Forms, publications, statutes, and most other information is now located at our NEW site: PORTAL.CT.GOV/WCC CRB OPINIONS AND ANNOTATIONS ARE STILL LOCATED AT THIS SITE WHILE IN THE PROCESS OF BEING MIGRATED TO OUR NEW SITE. … WebFeb 8, 1994 · You asked what the statutory basis is for the so-called "light duty" work search requirements under the workers' compensation law. Under section 31-308(a) of the General Statutes, as amended by PA 93-228, an employee who is partially disabled as a result of a work-related injury receives workers' compensation benefits equal to 75% of … http://braintopass.com/employee-first-report-of-injury-connecticut-state lisw application