Connecticut's Firm for Injured People
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Helpful Forms

The Connecticut personal injury lawyers at Carter Mario Injury Lawyers want to provide you with the resources you need to understand the legal process. Use these forms to help you best prepare your case:

Auto and Motorcycle Accident Forms

  • Connecticut Department of Motor Vehicles (DMV) Forms
    Visit this DMV website to access forms for medical requests, vehicle registrations, and more for car and motorcycle accidents.

Social Security Disability Forms

  • Authorization to Disclose Information Form
    Complete this Authorization to Disclose Information form and submit it to the Social Security Administration to give it access to your medical records.

Veterans Benefits Forms

  • VA Form 21-526
    Complete the Veteran's Application for Compensation and/or Pension to file for disability benefits.
  • VA Form 9
    Use this form to file your appeal to the Board of Veterans' Appeals.
  • Standard Form SF-180
    Complete this form to request a copy of your military records.

Workers' Compensation Forms

  • Authorization for Release of Medical Records
    Have your hospital or medical provider complete this form if you are filing a Connecticut workers' compensation claim.
  • Employee Medical & Work Status Form
    Your physician may use this form to report your medical progress and employment status to the party that will pay for your workers' compensation benefits.
  • Employer's First Report of Occupational Injury or Illness
    Your employer or its insurance company should complete this form to notify the Workers' Compensation Commission of your occupational injuries or illnesses.
  • Notice of Claim for Compensation (Form 30C)
    You or your Connecticut workers' compensation attorney should fill out this form when you make a claim for benefits.

Wrongful Death Forms

  • Connecticut Death Certificate
    Complete this form and send it to the Connecticut Department of Public Health to request a certified copy of your loved one's death certificate from the State Vital Records Office.
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RESOURCES
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  • What if I can't travel?
  • Carter Mario Supports National Distracted Driving Awareness Month
  • Cristina Lopez Joins Carter Mario Injury Lawyers
  • Two New Attorneys Join Carter Mario Injury Lawyers
  • Carter Mario Injury Lawyers Hosts Connecticut Legal Professionals at Open House
  • Milford Law Firm Donates Coats To Needy This Holiday Season
  • Judge: Family Of Woman Who Froze To Death Can Use Witness Statements

Parents of Slain USC Students File Wrongful Death Lawsuit
May 18, 2012

Parents of Special Needs Students Say School District Covered Up Abuse
May 17, 2012

City Pays $1 Million to Mother of Homeless Man Beaten to Death by Police
May 16, 2012

  • Milford Office
  • Hartford Office
  • Waterbury Office
  • Bridgeport Office
  • New Britain Office
  • North Haven Office
Milford Office

158 Cherry Street
Milford, CT 06460
(203) 876-2711
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Hartford Office

176 Wethersfield Avenue
Hartford, CT 06114
(860) 525-2222
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Waterbury Office

532 Wolcott Street
Waterbury, CT 06705
(203) 574-5338
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Bridgeport Office

3543 Main Street
Bridgeport, CT 06606
(203) 372-3456
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New Britain Office

370 W Main Street
New Britain, CT 06052
(860) 223-2100
View Walkthrough

North Haven Office

250 State Street
North Haven, CT 06473
(203) 281-0202
View Walkthrough

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