Connecticut Compensation Committee Information Form

State:
Multi-State
Control #:
US-L05041B
Format:
Word; 
PDF; 
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Description

This form assures that the compensation committee considers all relevant information when deciding the allocation of compensation. It provides an opportunity for each lawyer to list unique accomplishements, involvement with associates and management committees, national practice groups participation, recruiting, and an area for comments.

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FAQ

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.

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.

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.

Form 1A - Per the Connecticut Workers' Compensation Commission, this form "identifies the claimant's tax filing status last filed prior to the date of injury." The Nicholas Law Firm uses this form to determine what your compensation rate is.

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.

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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Connecticut Compensation Committee Information Form