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WYTHEVILLECOMMUNTIYCOLLEGE VIRGINIACOMMUNITYCOLLEGESYSTEM ACADEMICRENEWALPETITIONFORM last name, firstnamemiddleinitial socialsecuritynumber street address city state zip telephone former name(s)
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Formernames - WCC VCCS stands for Former Names of Workers' Compensation Insurance Carrier and must be reported when there has been a change in the name of the insurance carrier providing workers' compensation coverage.
Insurance carriers and employers are required to file Formernames - WCC VCCS whenever there is a change in the name of the workers' compensation insurance carrier.
Formernames - WCC VCCS can be filled out electronically through the designated state agency's website or by submitting a paper form to the appropriate authority.
The purpose of Formernames - WCC VCCS is to ensure accurate tracking of changes in workers' compensation insurance carriers to maintain proper records and compliance.
The information reported on Formernames - WCC VCCS includes the old name of the insurance carrier, the new name of the insurance carrier, effective date of the name change, and any relevant documentation.
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