Willington, CT · Tolland County
Proof of Workers’ Compensation Coverage
This form documents workers’ compensation coverage or an affidavit promising to require coverage, for a property owner or sole proprietor applying for a building permit 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
Willington’s 7B form is for a property owner or sole proprietor applying for a building permit who will act as the general contractor or principal employer. The applicant checks the applicable statement: they will submit proof of coverage for employees, or they will require proof from contractors, subcontractors, and other workers and complete the affidavit. The affidavit must be signed before a notary public or Commissioner of the Superior Court.
Who needs it
A property owner or sole proprietor applying for a building permit who will act as general contractor or principal employer must complete the applicable section.
Why it needs a notary
The affidavit has a subscribed-and-sworn jurat; the owner or sole proprietor signing that affidavit must sign before a notary public or Commissioner of the Superior Court.
How to get this notarized
- 1
Download the Form
Get the 7B Proof of Workers’ Compensation Coverage form from Willington’s document center.
- 2
Fill Out the Form
Enter the applicant and property details, then check the statement that applies to your coverage arrangement.
- 3
Book an Online Notary
Schedule a remote appointment with a commissioned online notary if completing the affidavit.
- 4
Sign on Video
Sign and swear to the affidavit during the online notary session.
- 5
Submit to the Town
Include the completed form with your Willington building permit application.
Preview the form
The blank PDF straight from Willington. 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 notarized affidavit?
- Check the affidavit option, fill in the requested details, and sign the affidavit during your appointment with a commissioned online notary. Submit the completed form with your building permit application.
- Do I need to notarize the entire form?
- The form requires the affidavit to be sworn and signed before a notary public or Commissioner of the Superior Court. The other choices call for an applicant signature but do not show a notary block.
- Can I use an online notary for this form?
- Connecticut authorizes remote online notarization by its own notaries under Public Act 23-28, effective October 1, 2023. Conn. Gen. Stat. §1-57 recognizes certain notarial acts performed outside Connecticut.
- Where do I submit the completed form?
- The form is for a building permit application in Willington. Check the town’s current permit instructions for submission details, and confirm with the town clerk if unsure.
Proof of Workers’ Compensation Coverage in other Connecticut cities
Each city publishes its own version of this form. Pick the city where you’re filing.