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***NOTE: The information being reported on is current as of the end of the business day on 08/07/2025. 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: 700196299   ]

Claim Detail



Case:      Czubatyj, Andrew C vs City of Stamford

Injury Date: 03/13/2023     Filing District: Stamford
Injured Body Part (Primary): Wrist     Claim Status: Non-Litigated
Date of Birth:     Nature of Injury: Contusion

FormForm DescrSubmitted ByDate ReceivedStatus
VA Voluntary AgreementInsurer Contact5/28/2024Approved
1A Filing StatusInsurer Contact5/28/2024 
43 DenialInsurer Contact4/17/2023 
30C Notice of ClaimClaimant4/10/2023 
36 Discontinue PaymentInsurer Contact3/31/2023Approved