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Product SKU More Info
Connecticut 2007-2008 Annual Report of the Workers' Compensation Commission FFCT295
Connecticut 3% Rate Commutation Table FFCT300
Connecticut Authorization for Release of Medical Records FFCT110
Connecticut Building Permit Requirements for Workers' Compensation Form 7A-7B-7C Directions FFCT150
Connecticut Bulletin 47 - Statute Book (Bulletin 47) FFCT290
Connecticut Coverage Election by Employee Form 6B FFCT140
Connecticut Coverage Election by Employees Form 6B-1 FFCT145
Connecticut Coverage Election by Sole Proprietor or Single-Member LLC Form 75 FFCT200
Connecticut Dependent's Notice of Claim Form 30D FFCT175
Connecticut Employer Medical Care Plan Application Package FFCT120
Connecticut Employer Safety and Health Committee Information Package FFCT125
Connecticut Employer Self-Insurance Application Package FFCT130
Connecticut Employer's First Report of Occupational Injury or Illness FFCT115
Connecticut Filing Status and Exemption Form 1A FFCT135
Connecticut Hearing Cancellation Request HC FFCT215
Connecticut Hearing Request HR FFCT220
Connecticut Mandatory Notice to Dependents by Employer Form 98 FFCT205
Connecticut Medical Protocols FFCT305
Connecticut Mileage Worksheet for Medical Treatment Examination FFCT225
Connecticut Notice of Claim for Compensation Form 30C FFCT170
Connecticut Notice of Intention to Reduce or Discontinue Payments Form 36 FFCT180
Connecticut Notice to Compensation Commissioner and Employee Form 43 FFCT190
Connecticut Notice to Employees FFCT230
Connecticut Notification of Appearance (NOA) FFCT235
Connecticut Order to Second Injury Fund in Cases of Concurrent Employment Form 44 FFCT195
Connecticut Petition for Review (PFR) FFCT240
Connecticut Physician's Permanent Impairment Evaluation Form 42 FFCT185
Connecticut Professional Guide for Attorneys, Physicians and Other Health Care Practitioners FFCT310
Connecticut Proof of Workers' Compensation Coverage when Applying for a Building Permit Form 7A FFCT155
Connecticut Proof of Workers' Compensation Coverage when Applying for a Building Permit Form 7B FFCT160
Connecticut Proof of Workers' Compensation Coverage when Applying for a Building Permit Form 7C FFCT165
Connecticut Record of Employment Contacts FFCT245
Connecticut Rehabilitation Request Form WCR-1 FFCT210
Connecticut Stipulation and What It Means FFCT255
Connecticut Stipulation Approval Procedure FFCT250
Connecticut Stipulation Questionnaire FFCT265
Connecticut Stipulation TO DATE and What It Means FFCT260
Connecticut Utilization Review Procedures FFCT315
Connecticut Voluntary Agreement (VA) FFCT270
Connecticut WCC Education Services Order Form FFCT275
Connecticut Workers' Compensation District Map FFCT280
Connecticut Workers' Compensation Information Packet FFCT285
Connecticut Workers' Rehabilitation Services Client Handbook FFCT320
Connecticut Workers' Rehabilitation Services On-The-Job Training Employer Information Packet FFCT325
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