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  • Vermont Dol Form 16

Get Vermont Dol Form 16

Department of Labor Workers' Compensation Division 5 Green Mountain Drive, PO Box 488 Montpelier, VT 05601-0488 SETTLEMENT AGREEMENT Attach any additional conditions, terms, etc. The injured worker.

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Quit: If the individual quit a job for reasons not related to something the employer did, he or she will be disqualified from receiving benefits until he or she goes back to work, earns six times his or her weekly benefit amount, and then becomes unemployed again, through no fault of their own.

Vermont workers' compensation insurance can help: Pay for medical care if an employee gets hurt or sick from their job. Replace most of their lost wages if they miss work due to an injury or illness from their job. Pay for funeral costs if they lose their life due to a work accident or work-related illness.

After the enrollment process has been completed, you can expect deposit of funds in your account approximately two business days following the process date of your weekly claim certification. Direct deposits are not made on weekends or holidays.

If your employer does not file a workers' compensation claim, then you can contact our office (802) 828-2286 and request a Form 5 – Employee's Notice of Injury and Claim for Compensation [PDF]. If you file a Form 5 you will be required to provide evidence that your injury was as a result of your employment.

You can receive unemployment insurance benefits for 26 weeks and extended benefits for 13 weeks.

You may qualify for regular Unemployment Insurance (UI) benefits. If eligible, you can receive up to 26 weeks of benefits.

There are currently additional benefit programs for claimants in Regular Unemployment Insurance once their traditional 26 weeks of benefits have been exhausted.

Maximum rate is $1,542 and the minimum rate is $514 (not including dependent's benefits) for the year beginning July 1, 2021.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232