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***NOTE: The information being reported on is current as of the end of the business day on 12/31/2025. 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: 601094567   ]

Claim Detail



Case:      Syskowski, Allen R vs Corbin Russwin, Incorporated

Injury Date: 08/25/2020     Filing District: New Britain
Injured Body Part (Primary): Head Injury - Multiple     Claim Status: Closed
Date of Birth:     Nature of Injury: Contusion

FormForm DescrSubmitted ByDate ReceivedStatus
STP StipulationClaimant's Rep8/11/2021Approved
HR Hearing RequestCommissioner7/22/2021 
HR Hearing RequestClaimant's Rep7/14/2021 
HR Hearing RequestCommissioner1/27/2021 
HR Hearing RequestCommissioner12/23/2020 
43 DenialInsurer Contact12/11/2020 
NOA Notice of AppearanceHrg Contact Rep11/25/2020 
HR Hearing RequestClaimant's Rep11/25/2020 
MED Medical Report (incl. Form 42)Claimant's Rep11/25/2020 
NOA Notice of AppearanceClaimant's Rep11/23/2020 
30C Notice of ClaimClaimant's Rep11/23/2020 
30C Notice of ClaimClaimant's Rep11/23/2020 
NOA Notice of AppearanceClaimant's Rep11/23/2020 
43 DenialInsurer Contact11/20/2020