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Get CT Workers Compensation Commission Form 1-A 2009-2024
Please TYPE or PRINT IN INK1ARev. 7132009State of Connecticut Workers Compensation Commission WCC File #Filing Status and ExemptionDate filed in Districts form must be executed in every case of compensate.
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Exemption FAQ
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There is a statute of limitation for filing workers' compensation claims: within ONE YEAR of the date of an injury or within THREE YEARS of the first manifestation of a symptom of an occupational disease.
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No. It is illegal for an employer to fire you simply for filing a workers' compensation claim, which means your employer must provide another justifiable reason for your termination.
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For a total disability, you can collect benefits for the full duration of the disability. Your medical benefits will continue as long as you need treatment. And, for partial disability, you can collect wage differential benefits for as long as 520 weeks.
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The Form 30C is to be completed and filed by a claimant (employee) or claimant's attorney/representative for making a claim for workers' compensation benefits.
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Some states limit the length of time an injured worker can receive temporary benefits. This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65.
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““308a”/Discretionary benefits are equal to 75% of the employee's after-tax loss in earnings, subject to the legislated maximum and minimum amounts. This is the NET difference between the amount the employee is currently earning and the amount they would have been earning, if they hadn't been injured.”
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The Form 6B is to be completed by an Officer of a Corporation or a Manager of a Limited Liability Company (LLC) who wishes to be excluded from workers' compensation insurance coverage. It is also used for such an officer or manager to revoke any previous election of exclusion from workers' compensation coverage.
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How Does Workers' Comp Work in CT? Workers' compensation in CT requires employees to immediately report an injury or illness to their employer. The state requires all employing state agencies to accept all injury reports. State agencies can't keep an employee from filing a workers' comp claim.
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