Virginia Workers Comp Forms
Find Virginia workers compensation forms and coverage guides.
Find helpful workers compensation guides, forms and resource for Virginia employers and employees in our forms library. We provide free access to the most common VA work comp forms for your convenience. Please contact our agency if you have questions about our forms or coverage in general, or if you need assistance locating a particular state form.
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Virginia Workers Compensation Insurance Forms
The standard Acord 130 application form for workers comp coverage in Virginia.
VA First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.
VA Agencies should complete this form to update their contact information in the state of Virginia.
Agencies should complete this form to add new contacts and update contact information.
This Implementation Guide is designed to assist Insurers, Self Insurers, and Claim Administrators with the transition from paper filing to electronic filing of first and subsequent reports of injury.
This form allows LLC members to reject workers comp coverage for the state of Virginia.
Complete this form to apply for the Drug-Free workplace premium reduction.
Information about workers' compensation in Virginia for Injured Workers.
Information from The Virginia Workers' Compensation Commission about workers' compensation for employers in Virginia.
Information from the Virginia Workers' Compensation Commission about the filing process for compensation claims.
A publication by the VA Division of Workers' Compensation about the states Second Injury Fund.
State Resources for Virginia
State Resources for Virginia
Virginia Workers' Compensation Commission
1000 DMV Drive
Richmond, Virginia 23220
Virginia Workers' Comp Commission
VA Bureau of Insurance (BOI)
1300 E Main Street
Richmond, VA 23218
State Corporation Commission
Workers compensation insurance is required by law for Virginia employers.
Virginia forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Virginia. We make every effort to keep forms updated but cannot guarantee any form is the latest version available.
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