Connecticut Free Printable Workers Compensation Law Posters Connecticut Workers' Compensation Commission Poster Required

The Connecticut Workers' Compensation Commission is a workers compensation law poster by the Connecticut Department Of Labor. This is a mandatory posting for all employers in Connecticut, and businesses who fail to comply may be subject to fines or sanctions.

This poster must be posted in a conspicuous place where all employees will see it and MUST be in type of not less than ten point bold-face or the employer will be subject to statutory penalty. This poster describes what qualifies workers for compensation and how to go about getting compensation.


CT All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both Connecticut and Federal poster requirements by clicking here .

It appears you don't have a PDF plugin for this browser. Please see the link below to download connecticut-notice.pdf.

NOTICE
State of Connecticut Workers’ Compensation Commission
The Workers’ Compensation Act (Connecticut General Statutes Chapter 568) requires your employer,
to provide benefits to you in case of injury or occupational disease in the course of employment.
Section 31-294b of the Workers’ Compensation Act states “Any employee who has sustained an injury 
in the course of his employment shall immediately report the injury to his employer, or some person 
representing  his  employer.  If  the  employee  fails  to  report  the  injury  immediately,  the  commissioner 
may  reduce  the  award  of  compensation  proportionately  to  any  prejudice  that  he  finds  the  employer 
has  sustained  by  reason  of  the  failure,  provided  the  burden  of  proof  with  respect  to  such  prejudice 
shall rest upon the employer.”
An injury report by the employee is NOT an official written notice of claim for workers’ compensation 
benefits; the Workers’ Compensation Commission’s Form 30C is necessary to satisfy this requirement.
NOTE:	 You	must	comply	with	P.	A.	17-141	(see	next	box,	below)	when	filing	a	compensation	claim.
The INSURANCE COMPANY or SELF-INSURANCE ADMINISTRATOR is:
Name
Address Telephone
City/Town  State Zip Code
Approved Medical Care Plan  Yes No
The State of Connecticut Workers’ Compensation Commission office for this workplace is located at:
Address Telephone
City/Town  State Zip Code
Public Act 17-141 allows an employer the option to designate and post – “in the workplace location 
where  other  labor  law  posters  required  by  the  Labor  Department  are  prominently  displayed”  and  on 
the  Workers’  Compensation  Commission’s  website  [wcc.state.ct.us]  –  a  location  where  employees 
must file claims for compensation.	
If your employer has listed a location below, you 	MUST	 file your compensation claim there.	
When filing your claim, you are also required – by law – to send it by certified mail.	
If blank below, ask your employer where to file your claim.	
Employer Name
Address Telephone
City/Town  State Zip Code
TO EMPLOYEES
THIS NOTICE MUST BE IN TYPE OF NOT LESS THAN TEN 
POINT BOLD-FACE AND POSTED IN A CONSPICUOUS 
PLACE  IN  EACH  PLACE  OF  EMPLOYMENT.  FAILURE 
TO POST THIS NOTICE WILL SUBJECT THE EMLOYER 
TO STATUTORY PENALTY (Section 31-279 C.G.S.).
Date Posted:	
Any questions as to your rights under the 
law or the obligations of the employer or 
insurance company should be addressed 
to the employer, the insurance company, or 
the Workers’ Compensation Commission	 	
(1-800-223-9675).	
Revised 10-01-2017

Other Connecticut Labor Law Posters 5 PDFS

There are an additional eight optional and mandatory Connecticut labor law posters that may be relevant to your business. Be sure to also print all relevant state labor law posters, as well as all mandatory federal labor law posters.

Poster Name Poster Type
Mandatory Connecticut Workers' Compensation Commission Workers Compensation Law
Mandatory Electronic Monitoring Surveillance Law
Mandatory Pregnancy Discrimination Poster (English) General Labor Law Poster
Mandatory Connecticut Wage & Workplace Administrative Regulations General Labor Law Poster
Mandatory Connecticut Wage & Workplace Administrative Regulations (Spanish) General Labor Law Poster

View all 9 Connecticut labor law posters


Get a Connecticut all-in-one labor law poster

Instead of printing out pages of mandatory Connecticut and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all Connecticut and federal posting requirements. Fully updated for 2018!

Get All-In-One Poster Now

Poster Sources:

Disclaimer:

While we do our best to keep our list of Connecticut labor law posters up to date and complete, we cannot be held liable for errors or omissions. Is the poster on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By LaborPosters.org **
Source: http://www.laborposters.org/connecticut/67-connecticut-workers-compensation-commission-poster.htm