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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 claimant's claim to workers' compensation benefits.
Time limit for filing First Report of Injury form? Varies from 24 hours to 14 calendar days; depending on state requirements. It is best to complete immediately as not to forget and miss the qualifying time limits.
A Connecticut worker is paid 75% of worker's after tax average weekly wage. Weekly payments are calculated as 20% of the State Average Weekly Wage not to exceed 75% of their average wage. The minimum is $228.20 and the maximum is $1,141 or 100% of State Average Weekly Wage.
How long do I have to file a claim? You generally have one year from the date of the injury to file CT workers' compensation claims. However, you should report any work-related injuries or sicknesses to your supervisor or manager immediately.
In Connecticut, If you miss time from work, payment of your wage loss benefits will begin after you have been disabled for 3 days. After that, you can receive wage loss benefits indefinitely depending on your injury and whether you can return to work. In Connecticut your claim will remain open during this time.

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The State of Connecticut Workers' Compensation Program requires that an employee report a work-related injury or illness to his/her employer immediately. For injuries prohibiting the employee from immediately notifying his/her supervisor, the supervisor, on behalf of the injured employee, can directly report the claim.
How long do I have to file a claim? You generally have one year from the date of the injury to file CT workers' compensation claims. However, you should report any work-related injuries or sicknesses to your supervisor or manager immediately.
Within 5 days of your initial examination, for every occupational injury or illness, send two copies of this report to the employer's workers' compensation insurance carrier or the insured employer.
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.
This is because workers have one year from the date of injury and three years from the date of first manifestation of an occupational disease to file a claim for workers' compensation. Unless the General Assembly explicitly states otherwise, changes in the workers' compensation law are not retroactive.

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