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State of connecticut injury reporting form
State of connecticut injury reporting form

State of connecticut injury reporting form

Link: Download State of connecticut injury reporting form

Date added: 08.04.2015
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The State of Connecticut Workers' Compensation Program requires that an DAS Form 207 - First Report of Injury: This form is used to record information when

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The "EMPLOYEE MEDICAL & WORK STATUS FORM" provided here may be used by a physician to report an injured employee's medical progress and work STATE OF CONNECTICUT WORKERS' COMPENSATION ACT a First Report of Injury form from her to be completed by the injured employee, signed by the Form 301: Injury and Illness Incident Report. Records Upon request, government representatives must be provided copies of OSHA records within 4 business

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File pursuant to C.G.S. § 31-316 for injuries that result in INCAPACITY FOR ONE DAY OR MORE. Send this form to: Workers' Compensation Commission, 21 Oak Street, Hartford, CT 06106-8011. Rev. 7-13-2009. State of Connecticut. How Long After An Injury Do I Have To Report It To My Employer? The Workers` Compensation Commission provides an official form for workers` The laws in your state and/or city may deviate significantly from those described here.The “Employer's First Report of Occupational Injury or Illness” form can be downloaded from the commission's website at You can also get hard Persons employed by the State of Connecticut must also serve the employer by . are reported on Form PER-WC 207, entitled “Report of Occupational Injury or Worker Status Report (DAS Form 208), This form must be completed by the if the injured worker has any employment other than the State of Connecticut for For more information on how to report an injury, please see below. State of CT Forms, including 30C Notice of Claim For Compensation · University Joint

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