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This document serves as a certification by contractors in Virginia to confirm their compliance with the state's workers' compensation coverage requirements for business licenses. It outlines details
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How to fill out contractors certification of insuring
How to fill out Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia
01
Obtain the Contractor's Certification of Insuring Liability for Workers' Compensation form from the Virginia Workers' Compensation Commission website or your local office.
02
Fill in the contractor's name, address, and contact information in the designated fields.
03
Provide the name of the insurance company that covers your workers' compensation liability and the policy number.
04
Indicate the effective date of the insurance coverage and the expiration date if applicable.
05
Sign and date the form at the bottom, certifying that the information provided is accurate.
06
Submit the completed form to the appropriate authority, such as the Virginia Workers' Compensation Commission or the relevant local governing body.
Who needs Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
01
Any contractor or subcontractor operating in Virginia who employs workers and is required to have workers' compensation insurance coverage for their employees.
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People Also Ask about
Does Virginia require workers' comp insurance?
A: Virginia law requires Virginia workers' compensation coverage for work performed or subcontracted in Virginia, even if it is temporary work. Virginia does not have reciprocity with any other state.
How many employees require workers' comp in Virginia?
Coverage Requirements As a general rule, a business with more than two employees is required to carry workers' compensation coverage. An employee is viewed broadly under workers' compensation law and includes part-time, seasonal and temporary workers, minors, trainees, immigrants and working family members.
Is workers' compensation insurance required in Virginia?
Virginia law requires that most employers carry workers' compensation insurance in order to cover their workers in the event of a work injury. Workers' compensation provides a tradeoff for both employers and employees. For the employer, it provides an exclusive remedy, shielding the employer from civil suit.
What is proof of coverage in Virginia Workers Comp?
Proof of coverage shall include the name and address of the insured, the insured's federal employer identification number (FEIN), the policy number, dates of insurance coverage, the name and address of the insurer, and the insurer's identification number.
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What is Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
It is a document that certifies a contractor has adequate workers' compensation insurance coverage in compliance with Virginia state laws.
Who is required to file Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
All contractors working in Virginia who have employees are required to file this certification.
How to fill out Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
The form should be filled out by providing information about the contractor's business, the insurance policy details, and signatures asserting the information is accurate.
What is the purpose of Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
The purpose is to ensure that contractors maintain the necessary insurance to protect employees from work-related injuries.
What information must be reported on Contractor’s Certification of Insuring Liability for Workers’ Compensation in Virginia?
The form requires reporting the contractor's business name, address, policy number, insurance company details, and the number of employees.
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