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.

FAQ

Q: What is Form 30C?
A: Form 30C is a Notice of Claim for Compensation in Connecticut.

Q: Who should fill out Form 30C?
A: The employee is required to fill out Form 30C.

Q: What is the purpose of Form 30C?
A: Form 30C is used to initiate a workers' compensation claim by notifying the Administrative Law Judge and the employer.

Q: What information is needed when filling out Form 30C?
A: The form requires the employee's personal information, details of the injury, and other relevant information.

Q: Is there a deadline for submitting Form 30C?
A: Yes, Form 30C must be filed within one year of the date of injury or within three years of the last payment of benefits.

Q: What happens after submitting Form 30C?
A: After submitting Form 30C, the claim will be processed and reviewed by the workers' compensation system.

Q: What if I need assistance with Form 30C?
A: If you need assistance with Form 30C, you can seek guidance from an attorney or contact the workers' compensation office for help.