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Workers Compensation Form 61A. Web electronic filing of the contractor certification form 61a is now available. Click here to file the certificate of workers' compensation insurance (form 61a) online.
Change in condition claims response form. 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 virginia workers' compensation commission. Franklin street richmond, va 23219 name of business owner /contractor last:. Click here to file the certificate of workers' compensation insurance (form 61a) online. Enter the business owner / contractor’s name, mailing address and phone number, all information is required. Search expenditures assessment eva transparency reports Click the “next” button to continue to the “owner/contractor’s information” section. Enter the complete name of business.
Click here to file the certificate of workers' compensation insurance (form 61a) online. Web go to the 61a form website at: Click the “next” button to continue to the “owner/contractor’s information” section. Enter the complete name of business. Virginia workers’ compensation commission attention: Enter the business owner / contractor’s name, mailing address and phone number, all information is required. Franklin street richmond, va 23219 name of business owner /contractor last:. Web electronic filing of the contractor certification form 61a is now available. Important you will need your policy information/declaration page to complete this form. Web virginia workers' compensation commission. Form 61 a is available online at.
