| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Damon Perry | | | | | | | |
| . . . Claimant's Rep | . . . Morizio Law Firm | 6580 Main Street | Suite 200, Second Floor | Stratford | CT | 06614- | (203) 386-1433 | (203) 386-9714 |
| Employer | Hyatt Regency Hotel | 1800 East Putnam Avenue | | Greenwich | CT | 06870- | (203) 637-1234 | ( ) - |
| . . . Insurer Contact | . . . Gallagher Bassett Services | PO Box 2934 | | Clinton | IA | 52733-2934 | (508) 948-3647 | |
| . . . . . . Hrg Ins Contact | . . . . . . Gallagher Bassett Services, Incorporated | Attn: Hearing Notices (Non State) | PO Box 2934 | Clinton | IA | 52733- | (860) 509-3480 | (860) 291-9875 |