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Contractor s Certificate of Workers Compensation Insurance (Form 61-A) www.workcomp.virginia.gov INSTRUCTIONS ON REVERSE SIDE File this completed form at the local office where your business license

How to fill out contractor39s certificate of workers39

How to fill out a contractor's certificate of workers?

1. Start by providing your personal and contact information, including your name, address, phone number, and email address.
2. Fill in the details regarding your business, including the company name, address, and contact information.
3. Indicate the start and end dates of the contract, as well as the project or job name.
4. Specify the type of work being performed by the contractor and provide a brief description of the project.
5. List the names of all workers employed by the contractor for the specific project, along with their job titles.
6. Include the start and end dates of the work performed by each worker.
7. Indicate the total number of hours worked by each employee.
8. State the hourly rate or wages paid to each worker.
9. Calculate the total amount paid to each worker based on the hours worked and the hourly rate.
10. Sign and date the certificate, attesting that the provided information is accurate and complete.

Who needs a contractor's certificate of workers?

1. Contractors and construction companies who hire employees or workers for a specific project.
2. Clients or project owners who want to ensure that all workers involved in the project are properly documented and employed legally.
3. Government agencies or regulatory bodies that require contractors to submit a certificate of workers as part of compliance regulations or audits.
4. Insurance companies that may request a certificate to verify the number of workers and their employment status for insurance coverage purposes.
5. Subcontractors who need to provide proof of their workforce to the main contractor or client.

For pdfFiller’s FAQs

What is contractor39s certificate of workers39?

The contractor's certificate of workers is a document that verifies the number of workers employed by a contractor.

Who is required to file contractor39s certificate of workers39?

Contractors who hire workers are required to file the contractor's certificate of workers.

How to fill out contractor39s certificate of workers39?

Contractors can fill out the certificate by providing information about the number of workers they employ.

What is the purpose of contractor39s certificate of workers39?

The purpose of the certificate is to ensure compliance with labor laws and regulations.

What information must be reported on contractor39s certificate of workers39?

Contractors must report the number of workers employed, their names, and other relevant details.

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