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Get CT WCA-1 2016-2024

T to obtain payment yourself, we will not investigate your claim. This Division has jurisdiction over wage issues only. We cannot assist you in obtaining payment for time not worked (holiday pay, severance pay, etc.), or for expenses, tax issues, or pension plan issues. We may be able to assist you in obtaining payment for unused fringe benefits such as vacation pay, but only upon separation of employment. In signing this form, I hereby attest to the following: That this is a true statement.

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