Connecticut Work Request Cover Sheet

State:
Multi-State
Control #:
US-212-AZ
Format:
PDF; 
Rich Text
Instant download

Description

A cover sheet is an informational form required to be filed in certain cases. The coversheet contains names and addresses of parties, the case type, and other organizational information. The court uses this information for statistical purposes and to organize the case for hearing. This form, a Work Request Cover Sheet for the type of case indicated (or a general cover sheet) is available for download now in standard format(s). USLF control no. US-212-AZ

How to fill out Work Request Cover Sheet?

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FAQ

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.

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.

There are a few exceptions to who Connecticut considers an employee, such as: Casual employees. Employees working in a private home for less than 26 hours a week. Corporate officers who choose not to have coverage.

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.

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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Connecticut Work Request Cover Sheet