The following form is in pdf format.
NOTE: To view and fill out the Registration form, you must have Adobe Acrobat Reader.

Registration Form

Once you complete the form, print it out using the button above,
then mail it, along with your check to:

Melinda Moz-Knight
Vermont Labor Relations Board
133 State Street
Montpelier, VT  05633-6101

Make Checks payable to: New England Consortium of Labor Relations Agencies.
Must include the tax identification number: 04-0285239