If your employer refuses to file a workers’ compensation claim for you, you can file it yourself. You should file the form as soon as possible.
The Department of Labor has the form you need to fill out and file. It’s called an Employee’s Notice of Injury and Claim for Compensation.
Make a copy of the form for yourself. Then mail the form to:
State of Vermont Department of Labor
Workers’ Compensation Division
PO Box 488
Montpelier, VT 05601-0488