Employer Toolkit - Virginia
Your resource for State Specific Forms and Regulatory Links
Visit our Employer FAQ page for answers to employer related questions.
State Forms
First Report of Injury [VWC Form #3]
Initial Treatment Authorization
New Policyholder Welcome Packet - VA
Pharmacy Authorization - VA
VA Application for Drug-Free Workplace Premium Credit
Wage Chart [VWC Form No. 7A]
Workers' Compensation Information - AL
Workers’ Compensation System Basic Facts - TN
Claim Forms
First Report of Injury [VWC Form #3]
Initial Treatment Authorization
New Policyholder Welcome Packet - VA
Pharmacy Authorization - VA
VA Application for Drug-Free Workplace Premium Credit
Wage Chart [VWC Form No. 7A]
Workers' Compensation Information - AL
Workers’ Compensation System Basic Facts - TN
Links
Virginia Workers’ Compensation Commission
Option to file Rejection of Coverage Waiver Form 16A