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Click ‘Get Form’ to open the Hartford Workers Compensation Claim Form in our platform.
Begin with Section I, where the employer's authorized representative must provide details about the employee, including their name, Social Security Number, and employment information.
In Section II, the employee should complete their statement by filling in personal details such as date of birth, address, and condition causing disability. Ensure all questions are answered to avoid delays.
Section III requires the employee's authorization to obtain necessary medical information. Make sure to sign this section for processing.
In Section IV, the attending physician must complete their statement regarding the patient's condition. This includes diagnosis and treatment details.
Review all sections for completeness and accuracy before submitting. Attach any required documents as specified in Section K.

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Versions	Form popularity	Fillable & printable
2019	4.3 Satisfied (39 Votes)
2013	4.6 Satisfied (27 Votes)

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Is Hartford good at paying claims?

The Hartford stands out for its claims service and strong industry reputation. The company has been around for over 200 years, which makes it older than about half the states. That said, we found other companies like Travelers and Progressive offer cheaper coverage and more varied coverage options.

How long does Hartford take to process a claim?

Claim Investigation and Evaluation Depending on the complexity of the case, this process can take anywhere from a few days to a couple of weeks. During the investigation phase, The Hartfords experienced adjusters will carefully review all the evidence and documentation provided.

Is Hartford insurance better than Geico?

GEICO is better than The Hartford overall, per WalletHubs grading criteria.

How reputable is Hartford insurance?

Our team rates The Hartford 4.2 out of 5 overall, which is higher than the industry average rating of 3.9 in our review of 147 companies. The Hartford got a perfect score in our Customer Experience category.

Is Hartford better than Progressive?

Progressive. Progressive is better than The Hartford overall, per WalletHubs grading criteria. Progressive received 3.9 out of 5 stars from WalletHub editors, whereas The Hartford received 3.1 out of 5 stars, and premiums from Progressive are generally lower than rates from The Hartford.