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Vehicle-Accident-Form.pdf - CT.gov
DESCRIBE NON VEhICLE PROPERTY DAMAGE IF APPLICABLE INCIDENT/ACCIDENT INFORMATION: State of Connecticut. DEPARTMENT OF ADMINISTRATIVE SERVICES.
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State of Connecticut Office of the Claims Commissioner--How To
Claims for damages of $5000 or less should be sworn and docHubd and supported by bills, estimates, etc., to allow for resolution of the claim without a
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Form CA-16 - Authorization for Examination / Medical Treatment
Description of Injury or Disease: 6. You are authorized to provide medical care for the employee for a period of up to sixty days from the date shown in item 11
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