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Workers Compensation Form 61A. Web contractors that do not list insurance coverage are asked to provide a reason. Enter the complete name of business.
Certificate of workers' compensation insurance (form 61a) | virginia workers' compensation commission The completed form assists the commission in following up with uninsured contractors that may be required to insure under the act. All information requested is required. Web contractors that do not list insurance coverage are asked to provide a reason. Click here to complete the form and receive your acknowledgement of compliance. Web go to the 61a form website at: Form 61 a is available online at. Return this form to the licensing authority. Important you will need your policy information/declaration page to complete this form. Click here to file the certificate of workers' compensation insurance (form 61a) online.
Web electronic filing of the contractor certification form 61a is now available. Return this form to the licensing authority. Click the “next” button to continue to the “owner/contractor’s information” section. Franklin street richmond, va 23219 name of business owner /contractor last:. Change in condition claims response form. Form 61 a is available online at. Click here to complete the form and receive your acknowledgement of compliance. Web contractors that do not list insurance coverage are asked to provide a reason. Web go to the 61a form website at: Search expenditures assessment eva transparency reports Web electronic filing of the contractor certification form 61a is now available.
