This form is a case information progress report which details the status of the file.
Connecticut Personal Injury Progress Report
State:
Multi-State
Control #:
US-PI-0233
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Personal Injury Progress Report?
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FAQ
The Form 42 is to be completed by the examining licensed physician to report a claimant's permanent partial loss or loss of use of a body part, as well as the likely date of the claimant's maximum medical improvement.
How Long Does It Take to Reach a Settlement for Workers' Comp in Connecticut ? The entire settlement process?from filing your claim to having the money in your hands?can take around 12-18 months depending on the details of your case and whether or not you have legal representation.
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.
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 30C is to be completed and filed by a claimant (employee) or claimant's attorney/representative for making a claim for workers' compensation benefits.
CT First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs. This form is to display contact information for the workers' compensation insurance carrier and the State of Connecticut Workers' Compensation Commission office.
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.