Vermont Department of Labor Forms

This form is used for applying for Unemployment Insurance in the state of Vermont.

This form is used for employee leasing companies in Vermont to apply for licensure and registration.

This Form is used for reporting new hires in the state of Vermont to the Department of Labor.

This form is used for employers in Vermont to report quarterly wages and contributions to the Department of Labor.

This Form is used for individuals in Vermont to provide an affidavit authorizing someone else to act on their behalf.

This Form is used for obtaining a surety bond in the state of Vermont. It is a document required by the Department of Labor to provide financial protection in case of non-compliance with labor laws.

This document lists the clients in Vermont for the Department of Labor (DOL) in Vermont.

This Form is used for employers in Vermont to report the first injury or illness that occurs on the job.

This Form is used for reporting a fatal accident in the state of Vermont.

This Form is used for employees in Vermont to report an injury at work and file a claim for compensation.

This form is used for filing a notice and application for a hearing in the state of Vermont.

This Form is used for notifying the Department of Labor in Vermont of the intent to change health care provider.

This Form is used for reporting the dependency status and concurrent employment of an individual in the state of Vermont.

This form is used for a Compromise Agreement in the state of Vermont. It is a document that outlines the terms and conditions of an agreement between an employer and employee to settle a dispute.

This Form is used for assessing an individual's work capabilities in the state of Vermont. It helps determine if they are able to perform specific types of work.

This Form is used for agreeing on permanent partial or permanent total disability compensation in Vermont.

This document is used for the agreement of compensation in fatal cases in the state of Vermont.

This form is used for reporting wage information in the state of Vermont. It is required by the Department of Labor (DOL).

This form is used to record the payment details in a memorandum format in the state of Vermont.

This document is used for calculating weekly net income in Vermont.

This form is used for applying for self-insurance in Vermont. It is for individuals or organizations who want to become self-insured instead of purchasing insurance from an insurance company.

This Form is used for documenting the denial or discontinuance of vocational rehabilitation by an employer or insurance carrier in the state of Vermont.

This Form is used for self-insured individuals in Vermont to obtain a bond for workers' compensation insurance.

This document provides a report on the alternative dispute resolution process for workers' compensation in Vermont. It outlines the methods used to resolve disputes between employers and employees regarding work-related injuries.

This Form is used for referring individuals to vocational rehabilitation services in Vermont.

This document is used as a cover page for Vermont's Vocational Rehabilitation program.

This document is used for reporting the discontinuance of vocational rehabilitation services in the state of Vermont.

This document helps determine eligibility for various entitlement programs in Vermont.

This document outlines a plan for safely returning to work in the state of Vermont. It provides guidelines and measures to prevent the spread of COVID-19 in the workplace.

This document is used to report the progress of vocational rehabilitation programs in the state of Vermont. It tracks the achievements and outcomes of individuals receiving vocational rehabilitation services.

This document is used for disclosing information related to vocational rehabilitation services in the state of Vermont.

This form is used for notifying the Vermont Vocational Rehabilitation program of the intent to change vocational rehabilitation provider.

This document is a self-employment workbook specifically designed for individuals in Vermont. It provides guidance and resources for those considering starting their own business or working as self-employed.

This form is used for individuals in Vermont who wish to apply for certification as a Vocational Rehabilitation Counselor or Job Developer/Intern.

This form is used for renewing the certification of a Vocational Rehabilitation Counselor or Job Developer/Intern in the state of Vermont.

This form is used for applying for new registration of ski lifts in the state of Vermont.

This document is used for renewing the registration for passenger tramways in Vermont.

This document is a report that contains the results of an inspection conducted on the wire ropes used in the tramway system in Vermont. It provides information about the condition of the ropes and any necessary maintenance or repairs that may be required.

This document is used for notifying the Vermont Department of Labor about an employee returning to work.