Form 30C Notice of Claim for Compensation (Employee to Administrative Law Judge and to Employer) - Connecticut

What Is Form 30C?

This is a legal form that was released by the Connecticut Workers' Compensation Commission - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on October 1, 2021;
• The latest edition provided by the Connecticut Workers' Compensation Commission;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form 30C by clicking the link below or browse more documents and templates provided by the Connecticut Workers' Compensation Commission.