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Get Vermont Dol Form 25
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How to fill out the Vermont Dol Form 25 online
Filling out the Vermont Dol Form 25 is essential for reporting an employee's wages in the context of workers' compensation claims. This guide provides clear instructions to help you accurately complete the form online with confidence.
Follow the steps to complete your Vermont Dol Form 25 effectively.
- Press the ‘Get Form’ button to access the Vermont Dol Form 25 and open it in your chosen editor.
- Begin by entering the state file number and the insurance company file number in the designated fields at the top of the form. If you do not have the state file number, you can contact the Department of Labor for assistance.
- Fill in the date of injury and the federal identification number in the appropriate sections. These details are crucial for accurately processing the wage statement.
- In the 'Wage Statement' section, input the gross wages of the employee for the twelve weeks preceding the date of injury. Remember not to include take-home pay, and exclude the week of the accident.
- Leave blank any weeks where the employee had excused absences or when reduced operations affected pay, provided these instances accounted for more than half of a work week.
- If applicable, include any tips earned by the employee either within the gross wages or in the designated 'TIPS' column.
- Document any extras provided to the employee, such as room and board, or other non-monetary compensation, in the 'EXTRAS' column.
- Add any bonuses and commissions outside of standard wages in the 'EXTRAS' column as well.
- Record the normal work week ending dates, number of hours, or days worked in the specified fields. Make certain to list the rate of wages on the line provided for each week.
- Indicate if the employee was paid in full for the day of the accident and document when they began losing time from work.
- Complete the statement confirming the accuracy of the employee's earnings, including your position title and the date of submission.
- Once you have filled out the form completely, you can save your changes, download a copy, print it out, or share it as needed.
Complete your Vermont Dol Form 25 online today to ensure a smooth claims process.
To file for weekly unemployment claims in Vermont, you need to access the Vermont Department of Labor's online portal. From there, follow the prompts to submit your claim for the week. Accurate completion of the Vermont Dol Form 25 is essential, as it validates your claims. Always double-check your submission to avoid common pitfalls that could delay your benefits.
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