This is one of the official Workers' Compensation forms for the state of Connecticut
Connecticut Mandatory Notice to Dependents by Employer or Insurer to be filed upon Death of Employee who is receiving Weekly Disability Benefits
State:
Connecticut
Control #:
CT-98-108-WC
Format:
Word;
PDF;
Rich Text
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Description
How to fill out Connecticut Mandatory Notice To Dependents By Employer Or Insurer To Be Filed Upon Death Of Employee Who Is Receiving Weekly Disability Benefits?
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