Form 5 – Employee’s Notice of Injury and Claim for Compensation – Rev 9-11
Friday, May 24, 2019
File Format:
State of Vermont
Department of Labor
Contact Information
COVID-19 Update: Department of Labor regional offices are currently operating with limited times for in-person services due to COVID-19 and staffing limitations. To see when your local office is open for in-person services click here.
Vermont Department of Labor
5 Green Mountain Drive
P.O. Box 488
Montpelier, 05601-0488
(802) 828-4000
