Manchester, CT · Hartford County
Workers’ Compensation Building Permit Affidavit
This form is for a property owner or sole proprietor acting as a general contractor or principal employer who applies for a building permit and must document workers’ compensation coverage arrangements.
- 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
Manchester’s building permit directions identify Form 7B for a property owner or sole proprietor who will act as the general contractor or principal employer. The applicant checks the applicable statement and provides the requested property, applicant, and business information. If the applicant will not personally submit proof of workers’ compensation coverage, the form includes an affidavit promising to require proof from every contractor, subcontractor, or other worker before work begins.
Who needs it
A property owner or sole proprietor applying for a building permit who will act as general contractor or principal employer uses this form to document coverage arrangements.
Why it needs a notary
If completing the affidavit, the owner or sole proprietor signs the sworn statement before a notary public or Commissioner of the Superior Court.
How to get this notarized
- 1
Download Form 7B
Get the Manchester Form 7B PDF and its directions for workers’ compensation requirements when applying for a building permit.
- 2
Fill Out the Form
Choose the applicable owner or sole proprietor statement and complete the requested applicant, property, and business details.
- 3
Book an Online Notary
If completing the affidavit, arrange an online notarization with a commissioned online notary.
- 4
Sign on Video
Sign the affidavit during the remote notarization session before the notary completes the notarial certificate.
- 5
Submit to the City
Give the completed Form 7B to the building official with your building permit application.
Preview the form
The blank PDF straight from Manchester. 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 Form 7B for a Manchester building permit?
- Select the applicable owner or sole proprietor statement, enter the requested information, and complete the affidavit if you will not personally submit proof of coverage.
- Do I need to notarize Form 7B?
- The form says to sign the affidavit before a notary public or Commissioner of the Superior Court when applicable. The other check-box statements do not include that affidavit block.
- Can I sign the Form 7B affidavit online?
- Connecticut authorizes its notaries to perform remote online notarizations for eligible documents under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b. Conn. Gen. Stat. §1-57 recognizes qualifying notarial acts performed outside Connecticut.
- Where do I submit the completed form?
- The directions say to give Form 7B to the building official to obtain a building permit. Confirm any submission details with Manchester before filing.
- What if I am unsure whether Form 7B applies to my project?
- The directions distinguish among property owners, sole proprietors, and general contractors. Review the form’s instructions and confirm with the town clerk if unsure.