| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Kelvin Polanco | | | | | | | |
| . . . Claimant's Rep | . . . D'Elia Gillooly DePalma, LLC | Granite Square | 700 State Street | New Haven | CT | 06511- | (203) 891-5310 | (203) 891-6948 |
| Employer | Yale University | Workers' Compensation | P.O. Box 208256 | New Haven | CT | 06520-8256 | (203) 432-9831 | (203) 432-6241 |
| . . . Employer's Rep | . . . Letizia, Ambrose & Falls, P.C. | 667-669 State Street Fl 2 | | New Haven | CT | 06511- | (203) 787-7000 | (203) 787-7001 |
| . . . Insurer Contact | . . . CorVel Enterprise Claims, Inc. (CorVel Corp.) | PO Box 22089 | | Portland | OR | 22089- | (800) 346-6333 | (866) 727-5573 |
| Employer-Add'l | Yale Transit | 221 Whitney Avenue | P.O. Box 208316 | New Haven | CT | 06511- | (203) 432-9790 | |