Easton, CT · Fairfield County
Proof of Workers’ Compensation Coverage
This form documents workers’ compensation coverage or an affidavit about requiring coverage for a building permit applicant who will act as the general contractor or principal employer.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Easton’s 7B form is for an owner or sole proprietor applying for a building permit who will act as the general contractor or principal employer at the property. The applicant checks the applicable statement about providing proof of coverage or requiring coverage from contractors, subcontractors, or other workers. The affidavit option must be signed before a notary public or Commissioner of the Superior Court.
Who needs it
An owner or sole proprietor applying for a building permit who will act as general contractor or principal employer at the project property may need this form.
Why it needs a notary
The affidavit option has a subscribed-and-sworn jurat; the owner or sole proprietor applicant signs that affidavit before a notary public or Commissioner of the Superior Court.
How to get this notarized
- 1
Download the Form
Get the 7B Proof of Workers’ Compensation Coverage form for the building permit application.
- 2
Fill In the Form
Enter the applicant and property details, check one applicable statement, and complete the affidavit if needed.
- 3
Book an Online Notary
If completing the affidavit, arrange a remote online notarization session with a commissioned online notary.
- 4
- 5
Submit to the City
Submit the completed form with your building permit application to Easton.
Preview the form
The blank PDF straight from Easton. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Easton workers’ compensation form?
- Enter the applicant and property information, check the statement that applies, and complete the affidavit if applicable. Sign the affidavit before a notary public or Commissioner of the Superior Court.
- Do I need to notarize this form?
- The form says to sign the affidavit before a notary public or Commissioner of the Superior Court, if applicable. The affidavit is one of the form’s options.
- Can I sign this form with a commissioned online notary?
- Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b, effective October 1, 2023. Confirm with the town clerk if unsure.
- Where do I submit the completed form?
- The form is for use when applying for a building permit. Submit it with your building permit application to the City/Town of Easton.
Proof of Workers’ Compensation Coverage in other Connecticut cities
Each city publishes its own version of this form. Pick the city where you’re filing.