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Form 1 (Rev. 12/00) (Approved for use as OSHA 101) STATE OF VERMONT DEPARTMENT OF LABOR AND INDUSTRY Drawer 20 Montpelier, VT 05620-3401 State File No. EMPLOYEE'S CLAIM AND EMPLOYER FIRST REPORT OF
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What is vermont - wcpolicycom?
Vermont - wcpolicycom is a form used to report workers' compensation policy information in the state of Vermont.
Who is required to file vermont - wcpolicycom?
Employers in Vermont who have workers' compensation coverage are required to file vermont - wcpolicycom.
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You can fill out vermont - wcpolicycom online through the Vermont Department of Labor website or by submitting a paper form.
What is the purpose of vermont - wcpolicycom?
The purpose of vermont - wcpolicycom is to provide the state with information about employers' workers' compensation coverage.
What information must be reported on vermont - wcpolicycom?
Information such as the policy number, insurance company name, coverage dates, and employer information must be reported on vermont - wcpolicycom.
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