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.

Stipulation Questionnaire Revised

MEMORANDUM NO. 2020-16

TO: WCC Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, and Advisory Board Members
FROM: Stephen M. Morelli, Chairman
DATE: September 18, 2020
RE: Stipulation Questionnaire Revised

The Commission's Stipulation Questionnaire has been revised, effective September 18, 2020. Please use this newest revision of the Stipulation Questionnaire, which can be obtained below or from our Online Forms page.
 

Stipulation Questionnaire
(PDF File: 1 page; Last revised September 18, 2020)

   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.