DOL Form 29 Application to Exclude Corporate Officers or LLC Members From Workers' Compensation Coverage - Vermont

DOL Form 29 Application to Exclude Corporate Officers or LLC Members From Workers' Compensation Coverage - Vermont

What Is DOL Form 29?

This is a legal form that was released by the Vermont Department of Labor - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOL Form 29?A: DOL Form 29 is an Application to Exclude Corporate Officers or LLC Members from Workers' Compensation Coverage in Vermont.

Q: Who should use DOL Form 29?A: The form should be used by corporate officers or LLC members who want to exclude themselves from workers' compensation coverage.

Q: Why would someone want to exclude themselves from workers' compensation coverage?A: There could be various reasons, such as if they don't perform any manual labor or if they have other insurance coverage.

Q: Is there a fee for submitting DOL Form 29?A: No, there is no fee for submitting the form.

Q: Can anyone in Vermont exclude themselves from workers' compensation coverage?A: No, only corporate officers or LLC members are eligible to exclude themselves.

Q: What should I do after submitting DOL Form 29?A: You should keep a copy of the form for your records and notify your workers' compensation insurance carrier.

Q: Is the exclusion from workers' compensation coverage permanent?A: No, the exclusion is valid for one year and needs to be renewed annually.

Q: What happens if I don't exclude myself from workers' compensation coverage?A: If you don't exclude yourself, you will be covered by the workers' compensation insurance and may be eligible for benefits in case of a work-related injury or illness.

Q: Can I change my mind and opt back into workers' compensation coverage?A: Yes, you can choose to include yourself in workers' compensation coverage at any time by notifying your insurance carrier in writing.

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Form Details:

  • Released on November 1, 2022;
  • The latest edition provided by the Vermont Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DOL Form 29 by clicking the link below or browse more documents and templates provided by the Vermont Department of Labor.

Download DOL Form 29 Application to Exclude Corporate Officers or LLC Members From Workers' Compensation Coverage - Vermont

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