Homepage Blank Connecticut 7B Form
Outline

The Connecticut 7B form serves as a crucial document for individuals applying for a building permit who will act as general contractors or principal employers. This form is specifically designed for property owners and sole proprietors engaged in construction projects. It requires applicants to provide proof of workers' compensation insurance coverage for all employees working on the site. The form includes sections where applicants must identify themselves as either the property owner or sole proprietor, affirming their role in the project. They must also check the appropriate box to indicate their status and sign the affidavit, attesting to their responsibility for ensuring that all workers possess the necessary insurance. Notarization is required to validate the affidavit, emphasizing the importance of compliance with the Workers’ Compensation Act. This process not only protects workers but also ensures that property owners and contractors meet legal obligations before commencing construction activities.

Sample - Connecticut 7B Form

7B
Proof of Workers’ Compensation Coverage when Applying
for a Building Permit for the
Sole Proprietor or Property Owner
who WILL act as General Contractor or Principal Employer
Please TYPE or PRINT IN INK
Rev. 3-17-2006
State of Connecticut
Workers’ Compensation Commission
ATTEST
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL act as the general contractor or principal employer, you must provide proof of workers’ compensation insurance coverage for all
employees.
Complete this form and, if applicable, sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court.
CHECK ONE (1) BOX ONLY, provide the appropriate information, and sign:
I am the OWNER of the above-named property. I WILL act as the general contractor or principal employer and, as such, will submit proof of workers’
compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property.
Signature of OWNER Applicant
I am the SOLE PROPRIETOR of a business doing work at the above-named property. I WILL act as the general contractor or principal employer and, as
such, will submit proof of workers’ compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-
named property.
Signature of SOLE PROPRIETOR Applicant
I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property. I will not personally
submit proof of workers’ compensation insurance coverage, but I will attest to the following:
AFFIDAVIT
I hereby swear and attest that I will require proof of workers’ compensation insurance for every contractor,
subcontractor, or other worker before he or she does work on the site of the construction project at the
above-named property in accordance with Section 31-286b of the Workers’ Compensation Act.
Signature of OWNER or SOLE PROPRIETOR Applicant
Name of Business—if applicable
Federal Employer ID# (FEIN)—if applicable
Subscribed and sworn to before me this day of , 200 .
Signature of Notary Public / Commissioner of the Superior Court
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit
Property located at
in the City / Town of
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Form Information

Fact Name Description
Purpose The Connecticut 7B form serves as proof of workers’ compensation coverage when applying for a building permit, specifically for property owners or sole proprietors acting as general contractors or principal employers.
Governing Law This form is governed by Section 31-286b of the Connecticut Workers’ Compensation Act, which mandates that proof of insurance must be provided for all employees involved in construction projects.
Submission Requirements Applicants must complete the form, check the appropriate box indicating their status (owner or sole proprietor), and provide signatures. If applicable, an affidavit must be signed in front of a Notary Public or a Commissioner of the Superior Court.
Version and Revision Date The current version of the 7B form was revised on March 17, 2006, ensuring that the information remains up to date and compliant with state regulations.

Detailed Guide for Filling Out Connecticut 7B

Filling out the Connecticut 7B form is a straightforward process. This form is essential for those applying for a building permit who will act as the general contractor or principal employer. Follow the steps below to ensure you complete the form correctly.

  1. Begin by typing or printing your name in the "Name of Applicant for Building Permit" section.
  2. Fill in the property address where the construction will take place in the designated area.
  3. Check the box that corresponds to your status: either as the owner of the property or as the sole proprietor of a business.
  4. If you are the owner, sign your name in the "Signature of OWNER Applicant" section. If you are the sole proprietor, sign in the "Signature of SOLE PROPRIETOR Applicant" section.
  5. If you will not submit proof of workers’ compensation insurance personally, check the relevant box and sign the affidavit. This indicates that you will require proof from any contractors or subcontractors.
  6. If applicable, provide the name of your business in the "Name of Business" section.
  7. If you have a Federal Employer ID number (FEIN), include it in the designated space.
  8. Find a Notary Public or a Commissioner of the Superior Court to witness your signature. They will need to sign and date the form.

Obtain Answers on Connecticut 7B

  1. What is the Connecticut 7B form?

    The Connecticut 7B form is a document required by the State of Connecticut Workers’ Compensation Commission. It serves as proof of workers’ compensation coverage when applying for a building permit. This form is specifically for sole proprietors or property owners who will act as the general contractor or principal employer on a construction project.

  2. Who needs to fill out the 7B form?

    Both property owners and sole proprietors who plan to act as general contractors or principal employers must complete the 7B form. If you are overseeing construction work on your property, you are responsible for providing proof of workers’ compensation insurance for all employees working on the site.

  3. What information is required on the form?

    The form requires several key pieces of information, including:

    • Your name as the applicant for the building permit.
    • The address of the property where the construction will take place.
    • Your status as either the owner of the property or the sole proprietor of a business.
    • Proof of workers’ compensation insurance coverage.
  4. What if I am not submitting proof of insurance myself?

    If you are the owner or sole proprietor but will not be submitting proof of workers’ compensation insurance yourself, you can still complete the form. You will need to sign an affidavit stating that you will require proof of insurance from any contractors, subcontractors, or workers before they begin their work on the project.

  5. How do I submit the 7B form?

    Once you have filled out the 7B form, you typically submit it along with your building permit application to your local building department. Ensure that all required signatures are included, particularly if an affidavit is needed. It's advisable to keep a copy for your records.

  6. Is notarization required?

    Yes, if you are signing the affidavit section of the 7B form, you will need to have it notarized. This means you must sign the form in the presence of a Notary Public or a Commissioner of the Superior Court to validate your statements.

  7. What happens if I do not provide proof of workers’ compensation insurance?

    If you fail to provide proof of workers’ compensation insurance when required, your building permit application may be denied. It is essential to comply with this requirement to ensure the safety of all workers on the construction site and to adhere to state laws.

  8. Can I use the 7B form for multiple projects?

    The 7B form is typically specific to a single building permit application. If you have multiple projects, you will need to complete a separate form for each project to provide the necessary proof of workers’ compensation coverage.

  9. Where can I find the Connecticut 7B form?

    You can obtain the Connecticut 7B form from the State of Connecticut Workers’ Compensation Commission website or through your local building department. It's important to ensure you are using the most current version of the form, as updates may occur.

Common mistakes

When filling out the Connecticut 7B form, many applicants make common mistakes that can delay the building permit process. One frequent error is failing to provide complete and accurate information. For instance, if the applicant does not fill in the name of the property or the city/town correctly, it can lead to confusion and potential rejection of the application.

Another mistake is neglecting to check the appropriate box that indicates whether the applicant is the owner or sole proprietor. This step is crucial because it determines the responsibilities regarding workers’ compensation insurance coverage. If the wrong box is checked, it may result in the application being deemed invalid.

Some applicants also forget to sign the form. A signature is essential to confirm that the information provided is accurate and that the applicant agrees to the terms outlined. Without a signature, the form cannot be processed, causing unnecessary delays.

Additionally, failing to include proof of workers’ compensation insurance can be a significant oversight. Applicants must ensure they attach the necessary documentation that verifies their coverage for all employees working on the construction site. This proof is a requirement for the permit application.

Lastly, many individuals overlook the need for notarization. If the affidavit section is not signed in front of a Notary Public or a Commissioner of the Superior Court, the application will not be valid. It's vital to ensure this step is completed to avoid any complications with the permit approval process.

Documents used along the form

When applying for a building permit in Connecticut, several documents may accompany the Connecticut 7B form. Each of these documents plays a crucial role in ensuring compliance with state regulations and protecting the interests of all parties involved. Below is a list of commonly used forms and documents.

  • Workers' Compensation Insurance Certificate: This document proves that the contractor or property owner has valid workers' compensation insurance coverage. It must cover all employees working on the project.
  • Affidavit of Compliance: This affidavit confirms that the property owner or contractor will require proof of workers' compensation from all subcontractors and workers before they start any work on the project.
  • Building Permit Application: This is the primary application form submitted to request permission for construction. It includes details about the project, the property, and the applicant.
  • Contractor Registration: This document shows that the contractor is registered and licensed to operate in Connecticut. It verifies that they meet all necessary state requirements.
  • Site Plan: A detailed drawing that illustrates the layout of the construction site. It includes information on property boundaries, existing structures, and proposed changes.
  • Proof of Ownership: This document provides evidence that the applicant owns the property in question. It may include a deed or other legal documents that confirm ownership.

Submitting these documents along with the Connecticut 7B form is essential for a smooth application process. Ensure all forms are completed accurately to avoid delays in obtaining your building permit.

Similar forms

The Connecticut 7B form serves a specific purpose in the context of workers' compensation coverage when applying for a building permit. Other documents share similar functions, often related to proof of insurance or compliance with regulations. Here are five documents that are comparable to the Connecticut 7B form:

  • Certificate of Insurance: This document provides evidence that a contractor has the necessary insurance coverage, including workers' compensation. Like the 7B form, it assures that employees are protected while working on a project.
  • Workers' Compensation Policy Declaration: This declaration outlines the terms of a workers' compensation policy. It serves a similar purpose by confirming that coverage is in place, ensuring compliance with state laws for employers.
  • Affidavit of Workers' Compensation Coverage: This affidavit is a sworn statement that the contractor has obtained workers' compensation insurance. It parallels the 7B form's requirement for proof of coverage before work begins on a construction site.
  • General Contractor Agreement: This agreement often includes clauses about insurance requirements. It functions similarly by ensuring that all parties involved in a construction project are aware of their obligations regarding workers' compensation coverage.
  • Subcontractor Agreement: Like the general contractor agreement, this document outlines the responsibilities of subcontractors, including the necessity of maintaining workers' compensation insurance. It reinforces the importance of coverage in protecting all workers on the job site.

Dos and Don'ts

When filling out the Connecticut 7B form, it’s important to follow certain guidelines to ensure accuracy and compliance. Here are four things you should and shouldn’t do:

  • Do type or print clearly in ink to avoid any misunderstandings.
  • Do check only one box to indicate your status as either the owner or sole proprietor.
  • Don’t leave any required fields blank; ensure all necessary information is filled in.
  • Don’t forget to sign the affidavit in front of a Notary Public or Commissioner of the Superior Court.

Misconceptions

  • Misconception 1: The 7B form is only for large construction projects.
  • This form applies to all building permits, regardless of the project's size. Even small renovations require proof of workers’ compensation coverage.

  • Misconception 2: Only contractors need to submit the 7B form.
  • Property owners acting as general contractors or principal employers must also submit this form. It’s not limited to licensed contractors.

  • Misconception 3: You don’t need workers’ compensation coverage if you have no employees.
  • If you plan to hire any workers, you must provide proof of coverage. This includes subcontractors and temporary workers.

  • Misconception 4: The 7B form can be submitted after the building permit is obtained.
  • The form must be submitted with the building permit application. Failing to do so can delay the approval process.

  • Misconception 5: The affidavit section is optional.
  • The affidavit is a crucial part of the form. It confirms your commitment to require proof of coverage from all workers involved in the project.

  • Misconception 6: You can sign the form without a notary.
  • A notary public or a Commissioner of the Superior Court must witness the affidavit signature. This step is essential for the form to be valid.

Key takeaways

When filling out the Connecticut 7B form, it is essential to keep the following key points in mind:

  • Eligibility Requirements: Only property owners or sole proprietors acting as general contractors or principal employers can complete this form. Ensure you meet these criteria before proceeding.
  • Proof of Insurance: You must provide proof of workers’ compensation insurance coverage for all employees working on the construction site. This is a crucial requirement for obtaining a building permit.
  • Affidavit Necessity: If you choose not to submit proof of insurance personally, you must still sign the affidavit. This affidavit confirms that you will require proof of insurance from all contractors and subcontractors before they begin work.
  • Notarization Requirement: The form must be signed in the presence of a Notary Public or a Commissioner of the Superior Court. This step is necessary to validate your affidavit and ensure compliance with legal standards.