Virginia Workers’ Compensation Commission Frequently …
may file a claim. You should check with the workers’ compensation commission of the other jurisdiction to determine if your policy is sufficient to meet their coverage requirements. In the event one of your workers wishes to make a Virginia claim, the foreign injury statute states as follows: § 65.2-508. Foreign injuries. A.
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Form VWC1 WORKERS' COMPENSATION NOTICE
workcomp.virginia.govWORKERS' COMPENSATION NOTICE. The employees of this business are covered by the Virginia Workers' Compensation Act. In case of injury by accident or notice of an occupational disease: THE EMPLOYEE SHOULD: 1. Immediately give notice to the employer, in writing, of the injury or occupational disease and the date of
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INFORMATION FOR EMPLOYEES - Virginia
workcomp.virginia.govthe disease, whichever is sooner. (Certain diseases, such as asbestosis, byssinosis, silicosis and coal workers’ pneumoconiosis have different limitation periods.) If after returning to work, you are again disabled, you must file a claim within two years of the date for which you were last paid compensation under an award.
COMMONWEALTH of VIRGINIA
workcomp.virginia.govnumber (201141795191002 –CICF-VA VICTIM’S FUND) when originating a payment into the SunTrust ERP account. For additional information, please contact our Treasury Management Client Services Specialist, Lori Price at 1-866-448-6394, option 102-0890. Lori Price Client Service Specialist, Treasury & Payment Solutions SunTrust Bank
Contractor’s PLEASE COMPLETE FULLY AND LEGIBLY …
workcomp.virginia.govCompensation Act and will remain in compliance with the law during the effective period of the business license. Signature of Applicant (Contractor or Business Owner) Date Print Name of Applicant For questions regarding how to complete this form, please contact the Commission toll-free at 1-877-664-2566 or 804 205-3586
First Report of Injury - Virginia
workcomp.virginia.govEmployer’s Mailing Address Name/FEIN of Entity on Policy Nature of Business Name and Address of Insurer or Self-Insurer for this Claim Policy Number Time and Place of Accident Location where accident occurred Date of injury Hour of injury a.m. p.m. If fatal, give date of death Date injury or illness reported
Claim Form - Virginia
workcomp.virginia.govClaim Form. Pursuant to Va. Code §65.2-601, a claim for specific benefits must be filed within two (2) years from the date of injury. Even if the Claim Administrator is voluntarily paying benefits, rights are not protected unless there is an Award . Order. Award Order. If the Claim Administrator accepts the claim, an Award Agreement is sent to ...
REVISED ORDER REGARDING EVIDENTIARY HEARINGS …
workcomp.virginia.gov(1) Filing deadline: A copy of each party's medical designation, as well as all proposed exhibits, must be filed no later than seven (7) calendar days before the scheduled hearing. The Medical Records Designation must be filed in accordance with the Commission’s July 1, 201 3 Order Clarifying Commission Rules 2.2 (B)(3) and 4.2. A
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