HomeMy WebLinkAbout1118 Cinnamon Springs STATE OF CONNECTICUT
NOTICE
t0 EMPLOYEES
OVA M Id
WORKERS' COMPENSATION ACT
Chapter 568 of the Connecticut General Statues requires that your employer,
ADVANCE PROPERTY MANAGEMENT,LLC
provide benefits to you in case of injury or occupational disease in the course of employer.
Any mployee who has sustained an injury in the course of employment shall forthwith notify the
employer, or some person representing the employer, or such injury; and on failure to give such
notice, the commissioner may reduce the award of compensation proportionately to any prejudic
which the commissioner finds the employer has sustained by reason of such failure; but the
burd n of proof with respect to such prejudice shall rest upon the employer. SUCH A REPORT IS
NOT A WRITTEN NOTICE CLAIM.
The Insurance Company for this employer is:
Name: Westport Insurance Corporation
Addr ss: P.O. Box 50457 Sarasota FL 34232-0303
Telephone: (866)535-6412
(If authorized self-insurer so indicate)
The Workers' Compensation Office for this workplace is located at:
Addr ss:
Telephone: OR 1-800-223-WORK
Any questions as to your rights under the law or the obligations of the employer or insurance
company should be addressed to the employer, the insurance company or the commission.
Workers' Compensation Commission
State of Connecticut
THIS NOTICE MUST BE IN TYPE OF NOT LESS THAN TEN POINT BOLDFACE AND POSTED IN A
CONSPICUOUS PLACE IN EACH PLACE OF EMPLOYMENT. FAILURE TO POST THIS NOTICE
WILL SUBJECT THE EMPLOYER TO STATUTORY PENALTY.
Date Posted
(9/92)