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The Workers' Compensation Commission's "PETITION FOR REVIEW" form is included in the codified version of the state's Administrative Regulations regarding Appeal from Compensation Commissioner (CRB Appeal Procedure).
Click here to view the "PETITION FOR REVIEW" form on our Forms page.
You may also view an illustration of the "PETITION FOR REVIEW" form used in appeals to the Compensation Review Board on page 186 of the "Bulletin No. 43":
PREVIOUS Section | MENU for Administrative Regulations
State of Connecticut
Workers' Compensation Commission
Page last revised: March 2, 2001
Page URL: http://wcc.state.ct.us/law/wc-regs/pfr.htm
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