| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Benjamin Procaccini | | | | | | | |
| . . . Claimant's Rep | . . . Gillis & Gillis, P.C. | One Century Tower | 265 Church Street, Suite 203 | New Haven | CT | 06510- | (203) 562-5104 | (203) 495-6476 |
| Employer | The Paper Store, LLC | 57 Washington Avenue | | North Haven | CT | 06473- | | |
| . . . Insurer Contact | . . . MEMIC Indemnity Company | PO Box 3606 | | Portland | ME | 04104-3606 | (866) 636-4292 | (207) 482-4196 |
| . . . . . . Insurer's Rep | . . . . . . Strunk, Dodge, Aiken & Zovas | 200 Corporate Place, Suite 100 | | Rocky Hill | CT | 06067- | (860) 785-4500 | (860) 436-9630 |