| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Ashley Antoine | | | | | | | |
| . . . Claimant's Rep | . . . Jainchill & Beckert | 144 West Main Street | | Plainville | CT | 06062- | (860) 351-5254 | (860) 351-5442 |
| Employer | Marin Transystems, Inc. | 40 Cold Spring Dr. | | Westbrook | CT | 06498- | (860) 778-6548 | |
| . . . Insurer Contact | . . . CBCS, Incorporated | 800 Main Street | | Dubuque | IA | 52004- | (877) 241-6121 | (563) 583-7301 |
| . . . . . . Hrg Ins Contact | . . . . . . CBCS, Incorporated | ATTN: Hearing Notice Desk | 800 Main Street | Dubuque | IA | 52001- | (877) 241-6121 | |
| . . . . . . Insurer's Rep | . . . . . . Suisman, Shapiro, Wool, Brennan, Gray & Greenberg, P.C. | 2 Union Plaza - Suite 200 | P.O. Box 1591 | New London | CT | 06320- | (860) 442-4416 | (860) 442-0495 |