Bridgewater, CT · Litchfield County
Workers’ Compensation 7B Proof of Coverage
This form documents workers’ compensation coverage arrangements for a property owner or sole proprietor acting as general contractor or principal employer when applying for a building permit.
- 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
Bridgewater’s 7B form is for a property owner or sole proprietor who will act as the general contractor or principal employer on a construction project. The applicant checks the applicable statement and provides the requested information. If the applicant will not personally submit proof of coverage, the form includes an affidavit promising to require proof from each 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 for work at the property needs this form.
How to get this notarized
- 1
Download the Form
Get the Workers’ Compensation 7B form from the Bridgewater website.
- 2
Complete the Form
Check one applicable statement and fill in the applicant, property, and business details.
- 3
Book an Online Notary
Schedule a video appointment if you are completing the affidavit that requires notarization.
- 4
Sign on Video
Sign the affidavit in the commissioned online notary’s presence during your appointment.
- 5
Submit to the City
Submit the completed form with your building permit application to Bridgewater.
Preview the form
The blank PDF straight from Bridgewater. 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 Workers’ Compensation 7B form?
- Check the statement that applies, enter the requested applicant and property information, and complete the affidavit if you will not personally submit proof of coverage. Sign the affidavit during your notary appointment.
- Do I need to notarize the entire form?
- The form’s affidavit includes a “Subscribed and sworn to before me” jurat. If you complete that affidavit, sign it before a notary or Commissioner of the Superior Court.
- Can I sign the affidavit with a commissioned online notary?
- Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, effective October 1, 2023. Conn. Gen. Stat. §1-57 recognizes notarial acts performed outside Connecticut by an officer authorized where the act occurred. Confirm acceptance with the town clerk if unsure.
- What information should I have ready?
- Have the applicant’s name, the property location, and, if applicable, the business name and Federal Employer ID number ready. Select the statement that matches your role and coverage arrangement.