WorkersCompensation.com - The online information management service for Workers' Comp professionals

  

Member Login

 Forgot Password?
usrnme Username: pswrd Password:
Not A Member? Learn More.
 Home | Forms | State Laws & Info |  Get Insurance |  CompYellow Pages |  Products |  News & Blogs |  Education |  Forums
Popular Features
WorkCompResearch
CompBob! Joke of the Week
CompTalk! Radio
CompTalk! Video
Send A Get Well Card
Post Job/Resume
Recommend This Site


Get Our E- Newsletter
Fresh News, Hot Topics, CompTalk! Radio and Video and More.

Sign Up!








Vermont Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

= Indicates this Type & Save form is available for individual purchase.

= FlashFormSSL Enabled.
Click here to learn more about auto-populating forms with FlashForm SSL.

(01) Employees Claim and Employer First Report of Injury - 7/08
(02) Denial of Workers Compensation Benefits - 9/09
(04) Report of Fatal Accident - 5/05
(05) Employees Notice of Injury and Claim for Compensation - 3/09
(06) Notice and Application for Hearing - 9/09
(07) Medical Authorization - 9/09
(08) Notice of Intent to Change Health Care Provider - 9/09
(10s) Certificate of Dependency and Employee Exemption Report - 9/09
(13) Report of Benefits and Related Expenses Paid - 9/09
(13a) Aggregate Annual Reporting Form -- Reporting period 7/01 -- 6/30 - 5/05
Form 13A Instruction Sheet - 5/05
(14) Settlement Agreement (medical benefits open) - 12/08
(15) Settlement Agreement - 12/08
(20) Work Capabilities Form - 9/09
(21) Agreement for Temporary Total Disability Compensation - 9/09
(22) Agreement for Permanent Partial Disability Compensation - 9/09
(23) Agreement for Compensation in Fatal Cases - 9/09
(24) Agreement for Temporary Partial Disability Compensation - 9/09
(25) Wage Statement (for dates of accident prior to July 1, 2008) - 9/09
(Form25 070108) Wage Statement (for dates of accident on or after July 1, 2008) - 6/08
(25m) Memorandum of Payment - 8/07
(25s) Weekly Net Income Worksheet - 9/09
(27) Notice of Intention to Discontinue Payments - 9/09
(28) Notice of Change in Compensation Rate (for Injuries after July 1, 1986) - 9/09
(28a) Notice Of Change In Compensation Rate (for INJURIES BEFORE JULY 1, 1986) - 9/09
(29) Application for Exclusion from the Provisions of the Vermont Workers Compensation Act - 8/09
(30) Application for Self Insurance - N/D
(31) Notice To Employeees - 12/05
(vr1) Vocational Rehabilitation Referral Form - 5/05
(Noticetoemployeesenglish) Employers Liability and Workers Compensation Poster - 12/05
(Noticetoemployeesspanish) Employers Liability and Workers Compensation Poster (Spanish) - 2/03
(AssumptionandGuarantee) Agreement of Assumption and Guarantee - N/D
(MOP) Memorandum of Payment - 8/07
(Quarterly after 7-1-07) Quarterly Assessment Statement Beginning July 1, 2007 - 7/05
(Return To Work Plan) Return to Work Plan - 2/07
(SIbond) Self_Insurers Bond - 6/05
(VRannualreport) Vocational Rehabilitation Annual Survey Form - N/D
(VRApplication) Application For Vermont Certification As A Vocational Rehabilitation Counselor Or Intern - 5/05
(VRchangeprov) Notice Of Intent To Change Vocational Rehabilitation Provider - 5/05
Cover Page - 2/07
(VRdisclosure) Vocational Rehabilitation Disclosure Statement - 2/07
(VRdiscontinuance) Vocational Rehabilitation Discontinuance Report - 2/07
(VRentitlementassess) Entitlement Assessment - 2/07
(VRForm1) Vocational Rehabilitation Referral Form - 3/07
(VRprogressrpt) Vocational Rehabilitation Progress Report - 2/07
(VRScreening) Vocational Rehabilitation Screening Notice and Response Form - 1/05
(VRSelfemploymtwkbk) Self-Employment Workbook - 2/07
(wcassessQuarterlyStatmt) Quarterly Assessment Statement For The Period Prior To July 1, 2007 - 7/07
(WCRecon2007) Insurer’s Reconciliation Statement - 1/05
(fraud) Report of Suspected Workers Compensation Insurance Fraud - Last Revised 4/08
(noinsurance) Report of Employer Conducting Business Without Workers Compensation Insurance - Last Revised 4/08