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