City of Bridgeport

Worker's Compensation Instructions and Form Links

The Form 7A “PROOF OF WORKERS’ COMPENSATION COVERAGE WHEN APPLYING FOR A BUILDING PERMIT FOR THE SOLE PROPRIETOR OR PROPERTY OWNER WHO WILL NOT ACT AS GENERAL CONTRACTOR OR PRINCIPAL EMPLOYER” is to be completed by the sole proprietor or property owner who is applying for a building permit, and who will not act as general contractor or principal employer. The Form 7A is to be submitted to the local building official to whom you are applying for a building permit, and not to the Workers’ Compensation Commission

Form 7B

The 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” is to be completed by the sole proprietor or property owner who is applying for a building permit, and who will act as general contractor or principal employer. The Form 7B is to be submitted to the local building official to whom you are applying for a building permit, and not to the Workers’ Compensation Commission.

Form 7C

The Form 7C “PROOF OF WORKERS’ COMPENSATION COVERAGE WHEN APPLYING FOR A BUILDING PERMIT FOR THE GENERAL CONTRACTOR OR PRINCIPAL EMPLOYER WHO HAS CHOSEN TO BE EXCLUDED FROM COVERAGE” is to be completed by the general contractor or principal employer who is applying for a building permit, and who has chosen to be excluded from workers’ compensation coverage by filing a form 6B or form 6B-1 (above) with the Workers’ Compensation Commission. The Form 7C is to be submitted to the local building official to whom you are applying for a building permit, and not to the Workers’ Compensation Commission