WebJul 13, 2009 · All parties within the State of Connecticut's workers' compensation system should use the official forms provided here, in order to ensure the documents you use are: up-to-date; accurate; and meet statutory requirements The Commission's online forms are available in PDF format, and most have the ability to be filled out online, printed, and saved. WebApr 12, 2024 · Claim Lookup Enter Claim Number OR Claimant Last Name: (required) Claim Nbr: --OR-- Last Name: First Name: Enter Date of Birth (Optional): Invalid Date of …
Workers Compensation Coverage Verification
WebOct 1, 2024 · The Employer's First Report of Occupational Injury or Illness form is to be completed by an employer or its workers' compensation insurance carrier to notify the Workers' Compensation Commission of occupational injuries or illnesses that result in incapacity for one day or more. WebConnecticut: – Connecticut verification information is, like other states, provided through NCCI and their national data base. Connecticut verifies information for employers who have secured a workers comp policy and those who are approved by the Connecticut Workers compensation commission to become self-insured. poncho raincoat suppliers
Connecticut Water - Home
WebWelcome to WCC Web Reports Main Menu! Please select a report to view from the following menu items: Claim Lookup. Displays information about a particular claim, such … WebAs soon as you have been notified of a work-related injury, please fill out this form and submit it to the following address: Workers’ Compensation Commission, 21 Oak Street Hartford, CT 06106-8011. First Fill Form. This form provides your employees with basic information about our Pharmacy Benefit Program, including such things as the phone ... WebIts primary focus is on the review of NCCI's data reporting activities and proposed changes. The NCCI DCP meets three to four times a year to discuss key data reporting topics for the workers compensation industry and to make recommendations to ensure that quality data is reported and collected in the most efficient and cost-effective manner. ponchorebound twitter