Form 30D Dependent's Notice of Claim (To Administrative Law Judge and to Employer) - Connecticut

What Is Form 30D?

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 30D?
A: Form 30D is the Dependent's Notice of Claim that is used in Connecticut.

Q: Who should I send this form to?
A: You should send this form to both the Administrative Law Judge and your employer.

Q: What is the purpose of this form?
A: The purpose of this form is to notify the Administrative Law Judge and your employer about a claim being made by a dependent.

Q: Who is considered a dependent?
A: A dependent is someone who relies on another person for financial support, such as a child or spouse.

Q: What information do I need to provide on this form?
A: You will need to provide information about the claimant, the dependent, the employer, and the nature of the claim.

Q: Is there a deadline for submitting this form?
A: Yes, there is a deadline for submitting this form. It is recommended to check the specific deadline provided by the Administrative Law Judge.

Q: Can I submit this form electronically?
A: It is best to consult the specific instructions provided with the form to determine if electronic submission is accepted.

Q: What should I do if I have multiple dependents making claims?
A: If you have multiple dependents making claims, you may need to submit separate forms for each dependent.

Q: Can I get legal representation for this process?
A: Yes, you have the right to obtain legal representation for this process if you choose to do so.