Salisbury, CT · Litchfield County
Workers’ Compensation Coverage Proof
This form provides proof of workers’ compensation coverage for a building permit applicant who owns the property or runs a sole proprietorship and will act as 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
Salisbury’s Form 7B is titled as proof of workers’ compensation coverage when applying for a building permit as a property owner or sole proprietor who will act as general contractor or principal employer. The applicant checks the applicable statement: submitting coverage proof for employees, or attesting that coverage proof will be required from each contractor, subcontractor, or other worker. The latter option includes an affidavit and notary block.
Who needs it
A property owner or sole proprietor applying for a building permit who will act as general contractor or principal employer may need this form.
How to get this notarized
- 1
Download the Form
Get Salisbury Form 7B and review its options for proving workers’ compensation coverage.
- 2
Complete the Form
Type or print in ink, enter the applicant and property details, and check the applicable statement.
- 3
Book an Online Notary
If completing the affidavit, schedule a session with a commissioned online notary.
- 4
- 5
Submit to Salisbury
Submit the completed form with your building permit application as directed by the town.
Preview the form
The blank PDF straight from Salisbury. 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
- Who completes Salisbury Form 7B?
- The form is for a building permit applicant who owns the property or is a sole proprietor and will act as general contractor or principal employer.
- Do I need to complete the affidavit section?
- The form presents the affidavit for an owner or sole proprietor who will not personally submit proof of coverage and will require proof from each contractor, subcontractor, or other worker.
- How do I get the affidavit notarized online?
- Book with a commissioned online notary, show identification, and sign the affidavit during a video session. Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b.
- Can I submit an online-notarized form to Salisbury?
- Conn. Gen. Stat. §1-57 recognizes notarial acts performed outside Connecticut by officers authorized where the act took place. Ask Salisbury’s town clerk about its submission requirements; confirm with the town clerk if unsure.
Other forms in Salisbury
Workers’ Compensation Coverage Proof in other Connecticut cities
Each city publishes its own version of this form. Pick the city where you’re filing.