North Canaan, CT · Litchfield County
Workers’ Compensation Building Permit Forms
This Connecticut Workers’ Compensation Commission packet helps building permit applicants document workers’ compensation coverage or applicable exceptions for a construction project.
At a glance
- Issued by
- City of North Canaan · North Canaan, Litchfield County, Connecticut
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- municipal-documents.s3.amazonaws.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- 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
The packet includes directions and Forms 7A, 7B, and 7C for documenting workers’ compensation coverage or an applicable exception when applying for a building permit. North Canaan building permit applicants use the relevant form based on whether they are an owner, sole proprietor, or general contractor or principal employer, and whether they will provide coverage or have properly excluded themselves from coverage.
Who needs it
A North Canaan building permit applicant who is an owner, sole proprietor, general contractor, or principal employer must provide the applicable coverage proof or form.
How to get this notarized
- 1
Download the Packet
Download the Workers’ Compensation Commission packet and review its directions for Forms 7A, 7B, and 7C.
- 2
Fill the Applicable Form
Complete the form that matches your role and workers’ compensation coverage status.
- 3
Book an Online Notary
If signing an affidavit on Form 7B or 7C, book a commissioned online notary.
- 4
Sign on Video
Sign the applicable affidavit during the notary’s video session.
- 5
Submit to the City
Submit the completed form and any required coverage proof to the North Canaan building department.
Preview the form
The blank PDF straight from North Canaan. 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
- Which form should I use for a North Canaan building permit?
- The packet’s directions distinguish Forms 7A, 7B, and 7C by applicant role and coverage status. Review the directions to identify the applicable form for your situation.
- Do I need to notarize the entire packet?
- No. The packet says to sign the affidavit on Form 7B or Form 7C before a notary when applicable. Form 7A does not show a notary block.
- How do I complete the affidavit notarization online?
- Complete the applicable form, then book a commissioned online notary. Sign the affidavit during the video session and submit the completed paperwork to the North Canaan building department.
- Can a commissioned online notary notarize this form?
- Connecticut authorizes remote online notarization by its commissioned online notaries under Public Act 23-28, effective October 1, 2023. Conn. Gen. Stat. §1-57 recognizes qualifying notarial acts performed outside Connecticut. Confirm with the town clerk if unsure.
Other forms in North Canaan
Workers’ Compensation Building Permit Forms in other Litchfield County cities
Each city publishes its own version of this form. Pick the city where you’re filing.