form 4361
DAS WC-207 - CT.gov
The Supervisor must complete this form with the injured worker and then forward it along with the balance of the claim forms to the Human Resources/Workers
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Workers Compensation Forms - CT.gov
Form 6B, 6B-1 and 75 Directions for filing the forms 6B, 6B-1, and 75 (below) used when electing to be covered under the Connecticut Workers Compensation Act
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Form CA-16 - Authorization for Examination / Medical Treatment
Office of Workers Compensation Programs. The following request for information is required under (5 USC 8101 et. seq.). Benefits and/or medical services
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