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Connecticut First Report of Injury Form

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Connecticut First Report of Injury Form

FED2255

As a Connecticut business, you're legally obligated to promptly inform the Connecticut Worker' Compensation Commission promptly after any employee injury. Regardless of how busy your workplace is, delaying this obligation can and will expose you to serious consequences, including legal and civil penalties.

Protect yourself and fulfil your obligation by using our convenient Connecticut First Report of Injury Forms. Each 8.5 x 11 form covers all of the information you need to promptly provide to the Commission. Plus, each package of Connecticut First Report of Injury Forms contains 25 forms, so you don't have to worry about running out.

Product Specifications:

  • 25 forms / package, 8.5 x 11

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$14.95

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Questions? Call a compliance specialist at 800-745-9970