Webbenefits; the Workers’ Compensation Commission’s Form 30C is necessary to satisfy this requirement. NOTE: You must comply with P. A. 17-141 (see next box, below) when … WebState of Connecticut Workers' Compensation Commission 10-01-2024 The Workers' Compensation Act (Connecticut General Statutes Chapter 568) requires your employer, ... benefts; the Workers' Compensation Commission's Form 30C is necessary to satisfy this requirement. NOTE: You nustconwly with P. A. 17-141 (see next box, below) when filing …

Workers Compensation - CT.GOV-Connecticut

WebState of Connecticut Workers' Compensation Commission 10-01-2024 The Workers' Compensation Act (Connecticut General Statutes Chapter 568) requires your employer, … Web9. Keep the remaining copy of the 30C for your own file. Workers’ Compensation Commission District Offices District 1 — Hartford District 5 — Waterbury 999 Asylum Avenue Hartford, CT 06105 55 West Main Street Waterbury, CT 06702 Phone: (860) 566-4154 Fax: (860) 566-6137 Phone: (203) 596-4207 Fax: (203) 805-6501 District 2 — … raiffeisen leonding harter plateau

Ct Workers Compensation Form 30C - Fill Out and Sign Printable …

WebJul 10, 2000 · Employees may get a 30C form from the WCC or his employer. But the law does not require employers to provide employees with the form. Generally, an employee files a claim by filling out a 30C form and mailing a copy to his employer and to the appropriate Workers ' Compensation Commission WCC District Office. (We have … WebCT.GOV-Connecticut's Official State Website WebForm 30C Revised In light of Public Act 19-17 which allows for police officers, parole officers, and firefighters to receive certain workers’ compensation benefits for post … raiffeisen login phototan