Form 43 Notice to Administrative Law Judge and Employee of Intention to Contest Employee's Right to Compensation Benefits - Connecticut

Form 43 Notice to Administrative Law Judge and Employee of Intention to Contest Employee's Right to Compensation Benefits - Connecticut

What Is Form 43?

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.

FAQ

Q: What is Form 43?A: Form 43 is a document used in Connecticut to provide notice to an Administrative Law Judge and an employee regarding the intention to contest the employee's right to compensation benefits.

Q: Who uses Form 43?A: Employers or insurance carriers in Connecticut use Form 43 to contest an employee's right to compensation benefits.

Q: What is the purpose of Form 43?A: The purpose of Form 43 is to inform the Administrative Law Judge and the employee that the employer or insurance carrier intends to contest the employee's right to compensation benefits.

Q: When should Form 43 be submitted?A: Form 43 should be submitted as soon as the employer or insurance carrier decides to contest the employee's right to compensation benefits.

Q: Are there any fees associated with submitting Form 43?A: There are no fees associated with submitting Form 43.

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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 43 by clicking the link below or browse more documents and templates provided by the Connecticut Workers' Compensation Commission.

Download Form 43 Notice to Administrative Law Judge and Employee of Intention to Contest Employee's Right to Compensation Benefits - Connecticut

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