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COMMONWEALTH OF VIRGINIA WORKERS COMPENSATION COMMISSIONWebFile Guide for Attorney Site AdministratorsWebFile Guide for Attorney Site AdministratorsUpdated November, 2017Key Points The Commission
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How to fill out virginia workers compensation commission
How to fill out virginia workers compensation commission
01
To fill out the Virginia Workers Compensation Commission form, follow these steps:
02
Gather all necessary information, including your personal details and information about your employer.
03
Download the form from the Virginia Workers Compensation Commission website or obtain a physical copy from their office.
04
Begin by filling out the basic information section, including your full name, contact details, and social security number.
05
Provide details about your employer, such as their name, address, and contact information.
06
Next, describe the nature of your injury or illness and provide details about when and where it occurred.
07
Include any medical treatment you have received and the names of healthcare providers.
08
Describe any witnesses to the incident, if applicable.
09
Fill out the wage and earnings information section, including details about your average weekly wage.
10
Sign and date the form, and make a copy for your records before submitting it to the Virginia Workers Compensation Commission.
Who needs virginia workers compensation commission?
01
Virginia Workers Compensation Commission is needed by:
02
- Workers who have suffered a work-related injury or illness in the state of Virginia
03
- Employees who want to file a claim for workers' compensation benefits
04
- Employers who need to report a workplace injury or illness to the commission
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