Branford, CT · New Haven County

Proof of Workers’ Compensation Coverage Form 7B

Form 7B documents workers’ compensation coverage or an owner’s or sole proprietor’s affidavit about requiring coverage when applying for a building permit.

Standard form~15 min to notarize
  • 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

Form 7B is for a property owner or sole proprietor who will act as general contractor or principal employer on a construction project. When applying for a building permit, the applicant checks the applicable statement and provides information about the property and applicant. If the applicant will not personally submit proof of coverage, the form includes an affidavit swearing that workers’ compensation proof will be required from contractors, subcontractors, and other workers before they work at the site.

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.

Why it needs a notary

The affidavit has a subscribed-and-sworn jurat; the owner or sole proprietor choosing that option signs the affidavit before a notary public or Superior Court commissioner.

How to get this notarized

  1. 1

    Download Form 7B

    Download the one-page Proof of Workers’ Compensation Coverage Form 7B.

  2. 2

    Complete the Form

    Select the applicable statement and fill in the requested applicant, business, and property information.

  3. 3

    Book an Online Notary

    If completing the affidavit, book an online notarization for the required sworn signature.

  4. 4

    Sign on Video

    Sign the affidavit during the video session before the commissioned online notary.

  5. 5

    Submit With Your Application

    Submit the completed form with your building permit application according to the application instructions.

Preview the form

The blank PDF straight from Branford. Look it over, then upload your filled copy to start the notary session.

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Info

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?
Choose the statement that applies, fill in the requested applicant and property details, and complete the affidavit if you will not personally submit proof of coverage.
Do I need to have Form 7B notarized?
The form says to sign the affidavit in front of a notary public or Superior Court commissioner when applicable. The owner or sole proprietor choosing that affidavit option signs before the notary.
Can I sign the Form 7B affidavit 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 the city’s submission requirements if unsure.
Where do I submit the completed form?
Form 7B is identified as supporting a building permit application. Follow the application instructions for the project; confirm with the town clerk if unsure.

Proof of Workers’ Compensation Coverage Form 7B in other New Haven County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Proof of Workers’ Compensation Coverage Form 7B?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.