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Film Incentive Center
Government Forms
Connecticut

Form 30D, Dependent's Notice of Claim for Compensation

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Dependents of deceased employees must submit Form 30D to claim workers' compensation death benefits in Connecticut. In the event of a work-related fatality on a film production, this form provides the necessary legal notice for surviving family members to seek compensation.

Expiration Date

December 31, 2025

Updated Date

April 29, 2025

Related Forms

Connecticut

Employer's First Report of Occupational Injury or Illness

Employers must file the Employer’s First Report within seven days of learning about any occupational injury or illness involving their workers. Production companies are required to complete this report promptly if a crew member, cast member, or set worker suffers a job-related injury or illness during production activities.

Unemployment Insurance
Updated 
04/2025
Connecticut

Form 75, Coverage Election by Sole Proprietor

Sole proprietors may submit Form 75 to elect inclusion in or exclusion from Connecticut workers' compensation coverage. Independent producers, freelance filmmakers, or other sole operators working on a production may use this form to manage their insurance obligations.

Unemployment Insurance
Updated 
04/2025

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At Wrapbook, we pride ourselves on providing outstanding free resources to producers and their crews, but this page is for informational purposes only as of the date above. The content on our website is not intended to provide and should not be relied on for legal, accounting, or tax advice. You should consult with your own legal, accounting, or tax advisors to determine how this general information may apply to your specific circumstances.