FREE 13+ Sample Workers Compensation Forms in PDF XLS Word
Workers Compensation Form 61A. Click here to complete the form and receive your acknowledgement of compliance. Certificate of workers' compensation insurance (form 61a) | virginia workers' compensation commission
Virginia workers’ compensation commission attention: Web contractors that do not list insurance coverage are asked to provide a reason. Click the “next” button to continue to the “owner/contractor’s information” section. Click here to complete the form and receive your acknowledgement of compliance. Franklin street richmond, va 23219 name of business owner /contractor last:. Click here to file the certificate of workers' compensation insurance (form 61a) online. Return this form to the licensing authority. Change in condition claims response form. Enter the business owner / contractor’s name, mailing address and phone number, all information is required. Search expenditures assessment eva transparency reports
Virginia workers’ compensation commission attention: Enter the business owner / contractor’s name, mailing address and phone number, all information is required. Web electronic filing of the contractor certification form 61a is now available. Search expenditures assessment eva transparency reports Web contractors that do not list insurance coverage are asked to provide a reason. The completed form assists the commission in following up with uninsured contractors that may be required to insure under the act. Web go to the 61a form website at: Form 61 a is available online at. Franklin street richmond, va 23219 name of business owner /contractor last:. Return this form to the licensing authority. Click here to file the certificate of workers' compensation insurance (form 61a) online.
