Forms and Documents

Find forms and documents from the Treasurer's Office listed by division:

Accounting Services

• Animal Licensure Fillable PDF Return Form
• Civil Marriage Quarterly Return Form
• Vermont Municipal Equipment Loan Fund Application

Retirement

• Dental Enrollment  Form
• Dental Rates 
• Designation of Beneficiary Form
• Retiree Change of Address Form 
• W-4P -IRS Tax Withholding  Form
• W-4VT - Vermont Tax Withholding Form 

Teachers Forms

• Teacher Application To Purchase Service Credit
• Teacher Retiree Under 65 Medical Form

State Forms

• State Application To Purchase Service Credit
• State Retiree Medical Form
• Dependents to Age 26 Affidavit
• Deferred Compensation Enrollment Form

Municipal Forms

• Municipal Application To Purchase Service Credit

Unclaimed Property

• Annual Compliance Report Cover Sheet
  • Schedule A
  • Schedule B (Securities)
• Safe Deposit Box - Cover Sheet
• Safe Deposit Box - Inventory Report
• Holder Reimbursement Request
• Vermont Claim Form