Vermont Statutes Title 21. Labor, § 702. Contents; penalty

Such reports shall state the name and nature of the business of the employer, the location of the place where the accident occurred, the name, age, sex, wages, and occupation of the injured employee and shall state the date and hour of the accident causing the injury, its nature and cause and such other information as may be required by the Commissioner. An employer who refuses or neglects to make such reports may be assessed an administrative penalty of not more than $100.00 per violation after notice and opportunity for hearing under section 688 of this title.