S T A T E  O F  V E R M O N T

Department of Banking, Insurance, Securities
& Health Care Administration (BISHCA)
89 Main St.  Montpelier, VT 05620-3101    Main Phone:  802-828-3301  
Paulette J. Thabault, Commissioner
 

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Consumer Assistance
Complaints, Publications

Investor Education

Find and/or Check Background of a Registered Investment Professional

Investment Adviser Registration Instructions/Forms

Broker Dealer
Registration Instructions/Forms

Statutes, Regulations, Orders
Small Business Resources
Securities Division  
www.vermontsecurities.info       www.vermontinvestorprotection.info
Thomas J. Candon, Deputy Commissioner
Main: 802-828-3420   Investor Protection/Education:
Toll-free 1-877-550-3907
 INVESTMENT ADVISER FORMS AND INSTRUCTIONS
  Use the forms below to register as an investment adviser or investment adviser representative with the State of Vermont. This site allows you to print out the forms (they are not interactive).  Please be sure to carefully read the Application Instructions before submitting your application. (The instructions will indicate which forms are to be submitted electronically and which must be submitted in hard copy.) If you have any questions, you are welcome to call the Securities Division for assistance at 802-828-3420.

You have two choices: 

1. See Application Instructions (Same link as in introduction above) to get instructions about forms and filing together in one place, with links to each of the necessary forms. 

2. Or, get individual forms from the list below:

  Affidavit of Investment Advisory Activity Form

  Branch Office Form

  Vermont IA Tax Certification Form  (Firm)

  Vermont IAR Tax Certification Form (Individual) 

  Vermont Surety Bond Form 
(Use this form only is you have discretion over, or custody of, client funds and do not meet the net worth requirements of Exhibit 6.5 of Order No. 06-43-S.)

  SEC Link: ADV Forms, FAQ's and Instructions
   
(Site contains forms ADV, ADV-W)