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Connecticut Voluntary Agreement (VA)
SKU: FFCT270 |   E-mail this product to a friend
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Product Description

The “VOLUNTARY AGREEMENT” Form contains important information (including benefit calculations) regarding an injured employee’s claim, and should be completed and issued by the injured employee’s employer or its workers’ compensation insurance carrier in every case in which an injured or ill employee receives workers’ compensation payments. It must also be accompanied by the “FILING STATUS AND EXEMPTION FORM” (Form 1A).
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