| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Carlos Terrones | | | | | | | |
| . . . Claimant's Rep | . . . Sodipo Law Group PC | 120 Oxford Street | | Hartford | CT | 06105- | (860) 233-2245 | (860) 233-8436 |
| Employer | LECOQ Cuisine Corporation | 35 Union Avenue | | Bridgeport | CT | 06607- | | |
| . . . Policy Ins | . . . Security National Insurance | PO Box 89404 | | Cleveland | OH | 44101-1935 | (888) 239-3909 | (678) 258-8395 |
| . . . . . . Insurer's Rep | . . . . . . Solimene & Secondo, LLP | 1501 East Main St., Suite 204 | | Meriden | CT | 06450- | (203) 599-0170 | (203) 285-8185 |
| . . . . . . Hrg Ins Contact | . . . . . . Am Trust North America | ATTN: Hearing Notices | PO Box 89404 | Cleveland | OH | 44101-6404 | (888) 239-3909 | (678) 258-8395 |