Here is an impairment rating template compatible with the state’s rule set

Impairment Rating Template for State Specific Rule Set (Word file)

Administrative Rule Set

Connecticut has a state specific rule set. Please see the labor department below for state rule set.

Physician’s Report

Here is a link to the form

Compensation for Partial Incapacity

Here is a link to the calculator

Labor Department

Here is a link to Workers’ Compensation Commission