If you can answer YES to the below questions, or can answer YES as a family member or representative on behalf of an essential worker who died contracting COVID-19 to the below questions, click the button below for the next step in the pre-screening process.
- I was a resident of Connecticut between March 10, 2020 and July 20, 2021.
- I was employed as an essential worker living in Connecticut between March 10, 2020 and July 20, 2021.
- I contracted COVID-19 between March 10, 2020 and July 20, 2021.
And I experienced one or more of the following:
- I had lost wages due to the inability to work after a COVID-19 diagnosis or related illness.
- I had out-of-pocket medical expenses due to a COVID-19 diagnosis or related illness.
- My relative/family member was an essential worker who died as a result of COVID-19, after being diagnosed with COVID-19 between March 10, 2020 and July 20, 2021.
