- 6% Rate Commutation TableFile .pdf (67.8 Kbytes)
- Bulletin 44 (statutes Book)File .pdf (10.2 Mbytes)
- Bulletin 44 Supplement (crb Annotations Book)File .pdf (16.4 Mbytes)
- Cartel De Marque Para Su ReclamacionFile .pdf (131.2 Kbytes)
- Conn Uc-1a Detailed Completion InstructionsFile .pdf (161.9 Kbytes)
- Correction Of Employee Quarterly Earning Report – FrontFile .pdf (126.3 Kbytes)
- Correction Of Employee Quarterly Earnings Report – BackFile .pdf (78.6 Kbytes)
- Coverage Selection Form For Employees Who Are Members Of A PartnershipFile .pdf (139.5 Kbytes)
- Earned Income Credit Advance Certificate (w-5)File .pdf (390.6 Kbytes)
- Employee Quarterly Earnings Report/employer Contribution ReturnFile .pdf (99.8 Kbytes)
- Employee Quarterly Earnings Report/employer Wage & Research Information Report – FrontFile .pdf (60.8 Kbytes)
- Employee Quartery Earnings Report/employer Wage & Research Information Report – BackFile .pdf (20.7 Kbytes)
- Employee Quaterly Earning Report – Continuation SheetFile .pdf (1.4 Mbytes)
- Employer Contribution VoucherFile .pdf (280.1 Kbytes)
- Employer Medical Care Plan Application PackageFile .pdf (223.5 Kbytes)
- Employer Safety & Health Committee Information PackageFile .pdf (25.6 Kbytes)
- Employer Self-insurance Application PackageFile .pdf (364.6 Kbytes)
- Employer Status Report For Municipalities – BackFile .pdf (8.9 Kbytes)
- Employer Status Report For Municipalities – FrontFile .pdf (50.9 Kbytes)
- Employer Status Report For Unemployment CompensationFile .pdf (2.4 Mbytes)
- Employer`s First Report Of Occupational Injury Or IllnessFile .pdf (185.8 Kbytes)
- Employment Of Minors In School-to-career Certification FormFile .pdf (59.3 Kbytes)
- Exemption & Modification Claim Form - Wage ExecutionFile .pdf (131.9 Kbytes)
- Form 1a Filing Status & Exemption FormFile .pdf (147.5 Kbytes)
- Form 6b Coverage Selection Form For Employee Who Is An Officer Of A Corporation Or A Manager Of A LlcFile .pdf (137 Kbytes)
- Guarantee AffidavitFile .pdf (93.3 Kbytes)
- Guide To 1995 Workers` Compensation Reform LegislationFile .pdf (162.4 Kbytes)
- Guide To 1996 Workers` Compensation Reform LegislationFile .pdf (116.4 Kbytes)
- Hearing Request FormFile .pdf (114.4 Kbytes)
- Hitc Application For Tax CreditFile .pdf (9.9 Kbytes)
- Labor Relations Municipal Complaint (5kb)File .pdf (53.9 Kbytes)
- Labor Relations Municipal Petition (43kb)File .pdf (129.2 Kbytes)
- Labor Relations Private Complaint (5kb)File .pdf (63.6 Kbytes)
- Labor Relations State Complaint (5kb)File .pdf (65.3 Kbytes)
- Labor Relations Teacher Complaint (5kb)File .pdf (53.5 Kbytes)
- List Of Connecticut Cities & Towns By DistrictFile .pdf (34.1 Kbytes)
- Marque Para Someter Su Reclamacion InsercionFile .pdf (86.5 Kbytes)
- Marque Para Someter Su Reclamacion Por El PamfletoFile .pdf (191.3 Kbytes)
- Medical ProtocolsFile .pdf (226.6 Kbytes)
- New Information & Forms For Private Employment AgenciesFile .pdf (369.4 Kbytes)
- Non-profit Employer Status Report – Cover LetterFile .pdf (35 Kbytes)
- Non-profit Employer Status Report – FrontFile .pdf (622.8 Kbytes)
- Non-profit Employer Status Reprt - BackFile .pdf (13.2 Kbytes)
- Notice To Commissioner Of Intention To Be Included For Coverage Under The Workers` Compensation LawFile .pdf (136.9 Kbytes)
- Notice To Compensation Commissioner & Employee Of Intention To Contest Liability To Pay CompensationFile .pdf (147.1 Kbytes)
- Osha Consulation Request FormExternal Link
- Unemployment Seperation PacketExternal Link