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Form 6B, 6B-1 and 75 Directions for filing the forms 6B, 6B-1, and 75 (below) used when electing to be covered under the Connecticut Workers' Compensation Act or when revoking a previous election of such coverage. Form 6B.

Connecticut employees can receive temporary disability benefits for up to 52 weeks. Accident or injury sustained while working. Repetitive stress injuries that develop over time, such as carpal tunnel syndrome.

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.

What Is a Form 43 Denial? An employer will complete Form 43 to inform the administrative law judge, the employee, and all interested parties that it intends to deny all or part of the injured employee's claim for workers' compensation benefits.

The Form 36 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Workers' Compensation Commissioner, the claimant (employee/decedent), and all parties to the claim of its intention to reduce or discontinue payment of the claimant's workers' compensation benefits.

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.

The body parts covered by permanent partial disability include the obvious: fingers, hands, arms, neck, back, legs, feet, and toes. The law also includes not-so-obvious body parts such as internal organs, including the brain, heart, and kidneys.

Connecticut's insurance continuation law required employers to continue any employer-paid accident and health or life insurance coverage for an injured employee while the employee received or was eligible to receive workers' compensation benefits or was out on paid sick leave because of an employment-related injury.