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MEMORANDUM NO. 99-18
| TO: | Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, Medical Practitioners, and Advisory Board Members |
| FROM: | John A. Mastropietro, Chairman |
| DATE: | November 17, 1999 |
| RE: | VOLUNTARY AGREEMENT FORMS |
* Please note that Memorandum No. 99-13, dated July 22, 1999, incorrectly omitted the orange form.
[NOTE: This form is available from our website or any district office.]
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State of Connecticut
Workers' Compensation Commission
Page last revised: November 18, 1999
Page URL: http://wcc.state.ct.us/memos/1999/99-18.htm
Workers' Compensation Commission Disclaimer, Privacy Policy and Website Accessibility