WebI have filed the following certificate with the Workers’ Compensation Commission: Form 6B (for an Officer of a Corporation, a Manager of an LLC, or a Member of a Multiple-Member LLC) Form 6B-1 (for a Partner in a Business) AFFIDAVIT I hereby swear and attest that I will require proof of workers’ compensation insurance for every contractor, WebOn July 17, 2013, and pursuant to the authority granted to the Chairman by C.G.S. §31-321, Forms 6B, 6B-1, and 75 were amended to include the instructions that all such documents should be submitted to the office of the Chairman at 21 Oak Street, Hartford, CT 06106.

FORM: 6B-1 Coverage Election by Employees who are …

WebG@ Bð% Áÿ ÿ ü€ H FFmpeg Service01w ... WebForm 6B-1 for employees who are Members of a Partnership Section 31-286b of the Workers’ Compensation Act requires anyone who requests a building permit to first ... Connecticut Workers' Compensation Commission Agency … northpoint academy calgary

cloudflare.tv

WebSTATE OF CONNECTICUT. OFFICE OF POLICY AND MANAGEMENT. Policies and Guidelines. This form is . MANDATORY. ... FORM 6B. Revised 4/16/07. Title: Form 6B Author: Anthony Lazzaro Last modified by: Claire Nolin Created Date: 4/4/2007 8:29:00 PM Company: STATE OF CONNECTICUT Other titles: WebForm 6B. STATE OF CONNECTICUT. OFFICE OF POLICY AND MANAGEMENT. Policies and Guidelines. This form is. MANDATORY. and must be completed, signed, and … WebState of Connecticut Rev. 10-01-2024 Workers’ Compensation Commission EMPLOYEE Name D.O.B. (required) Address City/Town State Zip Code Tel.# INJURY Date of Injury Date of Death City/Town of Injury State Zip Code Body Part(s) Nature of Injury Check, if an Occupational Disease or a Repetitive Trauma EMPLOYER Name Address City/Town … north point alternative learning center