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Workers' Compensation Forms

Vermont Department of Labor Form 1, Employer's Report of Injury, click here

Vermont Department of Labor Form 5, Employee's Report of Injury, click here

Vermont Department of Labor Form 20, Work Capabilities form, click here

Designated Health and Urgent Care Facilities, click here

Vermont Department of Labor Form 29, Application for Exclusion from Workers’ Compensation Act, click here

CorVel Direct deposit form, click here

CorVel WC Pharmacy Information, click here