Vermont Application For Self Insurance is a form issued by the Vermont Department of Financial Regulation that businesses in the state must fill out in order to obtain a Certificate of Authority to self-insure their workers' compensation and employer's liability risks. The application includes questions related to the business’ financial status, experience with workers’ compensation and employer’s liability insurance, and the company’s ability to handle the risks associated with self-insurance. The types of Vermont Application For Self Insurance include: Workers’ Compensation Self-Insurance Application, Employers’ Liability Self-Insurance Application, and Group Self-Insurance Application.