Get the free Use this form to report an employer who may be operating without ... - vwc state va

Virginia Worker s Compensation 1000 DMV Drive Richmond, VA 23220 Referral for Lack of Coverage Form (Form 62) Purpose: www.workcomp.virginia.gov Use this form to report an employer who may be operating

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Note: The specific form being referred to in this answer is not mentioned, so the instructions and targeted audience mentioned above are general in nature.

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