Form VG-098 template
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Employee ID Card Application
State Employee ID card. Only available to Vermont State Employees (current or retired).
This document is an application form for an Employee ID Card issued by the Department of Motor Vehicles (DMV) in Vermont. The form requests information about the employee's work status, name, title, work address, phone number, email, date of birth, employee ID number, Vermont Driver License/Permit number, and signature. Additionally, it requires agency/dept info such as the agency name, department name, signature of authorizing agent, and title of authorizing agent. The form also includes instructions for payment via VISION or in person at a DMV location, office hours, and instructions for processing applications for retired employees and law enforcement officers under the LEOSA.
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