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IMPORTANT: Submit this form to the Workers' Compensation Commission, a copy to the insurer, and keep a copy for your records. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. For workers' compensation purposes, we are required to maintain verification regarding workers' compensation coverage for all of our independent contractors. These forms must be filed with the employer's insurance carrier if the employer has a policy covering its other employees. State of Connecticut. Workers' Compensation Commission. ATTEST. Sole Proprietorships with no employee other than the owner. Sole Proprietorships with no employee other than the owner. Are nonW2 workers considered employees?