Connecticut Workers' Compensation Commission
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***NOTE:
The information being reported on is current as of the end of the business day on
03/30/2026
. If a form, or information has been submitted and is not yet present on a report(s), please check back the next business day.
[ Claim Number:
400117008 ]
Claim Detail
Case:
Wiggins, Rochene vs Dave & Buster's
Injury Date:
04/02/2021
Filing District:
Bridgeport
Injured Body Part (Primary):
Ankle
Claim Status:
Non-Litigated
Date of Birth:
Nature of Injury:
(Unknown)
Forms Filed
Hearings
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Interested Parties to Claim
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Form
Form Descr
Submitted By
Date Received
Status
LIEN
Notice of Lien
Bureau of CSE
7/27/2021
Pending
43
Denial
Insurer Contact
5/19/2021
30C
Notice of Claim
Claimant's Rep
5/12/2021
NOA
Notice of Appearance
Claimant's Rep
5/12/2021