Were you injured at work? Does your employer refuse to file a Workers' Compensation claim for you? You can file your injury claim yourself. You should file the form as soon as possible.
Here is the form you need to fill out and file:
Employee's Notice of Injury and Claim for Compensation.
Mail the form to:Workers Compensation Division,Vermont Department of Labor and IndustryNational Life Building, Drawer 20Montpelier, Vermont05620-3401
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