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The Form 30C is to be completed and filed by a claimant (employee) or claimants attorney/representative for making a claim for workers compensation benefits.
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 claimants claim to workers compensation benefits.
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 claimants claim to 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.
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 or when revoking a previous election of such coverage. Form 6B.
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There are a few exceptions to who Connecticut considers an employee, such as: Casual employees. Employees working in a private home for less than 26 hours a week. Corporate officers who choose not to have coverage.
Promptly file a Written Notice of Claim: In Connecticut, you must file Form 30C, which gives notice to the Workers Compensation Commission that you are claiming benefits. Although you notified your employer that you were injured, you must file the Written Notice, Form 30C, as well.
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 claimants workers compensation benefits.

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