DOL Form 28A Notice of Change in Compensation Rate (For Injuries Before July 1, 1986) - Vermont

What Is DOL Form 28A?

This is a legal form that was released by the Vermont Department of Labor - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on June 1, 2022;
• The latest edition provided by the Vermont Department of Labor;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of DOL Form 28A by clicking the link below or browse more documents and templates provided by the Vermont Department of Labor.