West Virginia Workers Comp Forms

Find West Virginia workers compensation forms and state insurance documents.

At Workers Compensation Shop.com we provide free access to most of the forms you need relating to West Virginia Workers Compensation Insurance. We strive to keep these forms up to date and accurate.

As with all information we provide please verify the accuracy of this information with the West Virginia Office of the Insurance Commissioner.

If you have any questions about any of these forms feel free to contact us at 888-611-7467. If you are ready you can start a quote online today.

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West Virginia Workers Compensation Insurance Forms

West Virginia Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers comp coverage in West Virginia.

West-Virginia First Report of Injury Form

First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

West-Virginia First Report of Injury Form

First Report of Injury Form. Employees should complete this form and send to their insurance company each time an injury occurs.

Application for Exemption from Certificate of Authority

Complete this for to apply for exemption from the Certificate of Authority.

West-Virginia Application for Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to exclude themselves from a workers' compensation policy.

West-Virginia Application for Exemption for Workers' Compensation Insurance

Complete this form if you are a sole-proprietor, partnership with no employees or a sole officer of a corporation and would like to be exempt from coverage.

West-Virginia Application for Exemption for Workers' Compensation Insurance

Complete this form if you are a sole-proprietor, partner, or officer of a corporation and would like to be exempt from coverage.

Workers' Compensation Policies, Coverage Issues and Related Topics

Legal information regarding workers' compensation laws in West Virginia.

State Resources for West Virginia

WV Insurance Commissioner

PO Box 50540
1124 Smith St.
Charleston, WV 25305-0540
304-558-3386
http://www.wvinsurance.gov/

West Virginia State Fund

National Council on Compensation Insurance (NCCI)
901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
800-622-4123
https://www.ncci.com/

Workers compensation insurance is required by law for West Virginia employers.

West 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 West Virginia.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.
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