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   Connecticut Workers' Compensation Commission.

   Forms, publications, statutes, and most other
   information is now located at our NEW site:
   PORTAL.CT.GOV/WCC

WCC MEMORANDUMS
 
ARE STILL LOCATED AT THIS SITE WHILE IN THE
PROCESS OF BEING MIGRATED TO OUR NEW SITE.

Click to read WCC MEMORANDUMS.

Form 30C Revised

MEMORANDUM NO. 2019-04

TO: WCC Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, and Advisory Board Members
FROM: Stephen M. Morelli, Chairman
DATE: June 27, 2019
RE: Form 30C Revised

In light of Public Act 19-17 which allows for police officers, parole officers, and firefighters to receive certain workers’ compensation benefits for post-traumatic stress disorder (PTSD) caused by their participation in specific events, the Commission’s Form 30C “Notice of Claim for Compensation” has been revised, with a revision date of July 1, 2019. Please use this newest revision of the Form 30C, which can be obtained below or from our Online Forms page.

Form 30C   (PDF File: 4 pages; 1.3MB; Last revised July 1, 2019)

   You have reached the original website of the
   Connecticut Workers' Compensation Commission.

   Forms, publications, statutes, and most other
   information is now located at our NEW site:
   PORTAL.CT.GOV/WCC

WCC MEMORANDUMS
 
ARE STILL LOCATED AT THIS SITE WHILE IN THE
PROCESS OF BEING MIGRATED TO OUR NEW SITE.

Click to read WCC MEMORANDUMS.