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  • Bformb 25m Bmemorandumb Of Payment Last Revised 115 Pdf - Labor Vermont

Get Bformb 25m Bmemorandumb Of Payment Last Revised 115 Pdf - Labor Vermont

Form 25M www.labor.vermont.gov WORKERS COMPENSATION DIVISION 5 GREEN MOUNTAIN DRIVE, PO BOX 488 MONTPELIER, VT 056010488 (802) 8282286 Rev. 1/15 State File No.: Ins. Co. File No.: Date of Injury:.

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Your employer's insurance company has 21 days from the date that employer received notice of your injury to investigate your claim and determine if your injury is covered. The insurance adjuster should contact you for information about your injury.

Vermont Rates for Select Work Comp Class Codes Class Code & DescriptionLow RateHigh Rate8742 Sales Professional$0.41$0.588810 Clerical-Office Employee$0.15$0.218824 Retirement Living Centers-Congregate Communities$3.28$4.668824* Nursing Homes & Assisted Living Facilities$3.28$4.6663 more rows

If a work-related injury or illness leaves an employee with a total temporary disability, these benefits are available for up to 104 weeks. If an employee still needs benefits, the Vermont Department of Labor decides if payment will continue.

2. Your employer must report to the Department within 72 hours of receiving notice of your injury if that injury results in medical care or an absence from work. Your employer should give you a copy of the report they file.

Workers' compensation insurance is mandatory for all Vermont employers. Most employers are aware of their coverage obligations and they know that it provides an injured worker with certain benefits.

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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