CTMD Form 1-12 Injury Reporting Procedures - Connecticut

What Is CTMD Form 1-12?

This is a legal form that was released by the Connecticut Military Department - 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 CTMD Form 1-12?
A: CTMD Form 1-12 is a form used for injury reporting procedures in Connecticut.

Q: Who is responsible for completing CTMD Form 1-12?
A: The person who witnessed or discovered the injury is responsible for completing CTMD Form 1-12.

Q: What injuries should be reported using CTMD Form 1-12?
A: CTMD Form 1-12 should be used to report any injuries that occur in the workplace.

Q: Is CTMD Form 1-12 mandatory?
A: Yes, CTMD Form 1-12 is mandatory for reporting workplace injuries in Connecticut.

Q: What information is required on CTMD Form 1-12?
A: CTMD Form 1-12 requires information about the injured person, the nature of the injury, and the circumstances surrounding the injury.

Q: What should I do with the completed CTMD Form 1-12?
A: The completed CTMD Form 1-12 should be submitted to the appropriate supervisor or employer.

Q: Are there any deadlines for submitting CTMD Form 1-12?
A: Yes, CTMD Form 1-12 must be submitted within a certain timeframe depending on the severity of the injury.

Q: Can CTMD Form 1-12 be used for non-workplace injuries?
A: No, CTMD Form 1-12 is specifically for reporting workplace injuries in Connecticut.

Q: What happens after CTMD Form 1-12 is submitted?
A: After CTMD Form 1-12 is submitted, it will be reviewed by the Connecticut Department of Labor for further action.