The VLCT PACIF Workers' Compensation Program provides coverage for any claim for a municipal employee that is injured while in the course of his or her employment. Common injuries are caused by lifting heavy objects, slip/trip and falls, cuts and bruises, pulled muscles, etc., all occurring during the workday. To file a workers’ compensation claim online, please visit our Customer Service Forms page, where you will find the Employer's First Report of Injury Form. For more information, please contact Trisha Clark, Administrative Assistant, Claims.
Resources
Vermont Department of Labor and Industry (off-site link)
Website of the Vermont Department of Labor and Industry.
Workers' Compensation FAQs (on-site link)
Frequently asked questions about VLCT PACIF's workers' compensation coverage.
On-line Workers' Compensation First Report of Injury Form (on-line form)
VLCT PACIF members may file a First Report of Injury on-line using this form.
Request Information (on-line form)
Please fill out this How Can We Help You Form for more information about our workers' compensation program.
Non-Employee Work Agreement
Please download and use this form as needed when non-employees perform work for your municipality.
