State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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WCC Notice to Dependents of Decedents Memorandum - December 10, 1998


MEMORANDUM NO. 98-17

TO: Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, and Advisory Board Members
FROM: Jesse M. Frankl, Chairman
DATE: December 10, 1998
RE: Notice to Dependents of Decedents

Pursuant to Public Act 98-104, enclosed please find Form 98-108 which sets forth the notice that the Workers’ Compensation Commission has established to implement the Public Act. Please utilize this form to notify the dependents of a deceased employee that they may be eligible for death benefits, subject to the filing and eligibility requirements of the Workers’ Compensation Act.

[NOTE: Copies of the Form 98-108 may be downloaded and/or printed from this website, or may be obtained from Education Services or any of our eight District Offices.]


State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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State of Connecticut
Workers' Compensation Commission
Page last revised: December 10, 1998
Page URL: http://wcc.state.ct.us/memos/1998/98-17.htm

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