Virginia Forms
12 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
Annual Report of Self-Insurer's Payroll |
Form 26 | 4/10/12 | ||
Annual Report of Self-Insurer's Payroll by City, Town or County School Boards |
Form 26B | 7/6/2011 | ||
Cost-of-Living Adjustment (COLA) Request |
CA51 | Rev. 7/25 | ||
Irrevocable Letter of Credit - Packet |
VWC Form No. SI21-B | (11/14/17) | ||
PARENTAL GUARANTEE |
VWC Form No. SI22 | (rev. 08/1/15) | ||
Termination of Wage Loss Award |
VWC Form #CSD-133 | Rev. 02/2026 | ||
Wage Chart |
VWC Form No. 7A | (rev. 03/20/24) | ||
Annual Report of Premiums, Assessments, Etc., Received by Insurance Carriers |
Form 26A | 11/5/2012 | ||
Claim Form - EDI |
No Form Number | Rev. 7/23 | ||
Claim Summary Addendum for 2019 Annual Survey |
SI 23 A | 5/1/15 | ||
Supplemental Agreement Form Varying Wage Benefits |
No Form Number | Rev. 7/23 | ||
Transportation/Travel Expense Form - EDI |
No Form Number | Rev. 11/21 | ||
Disclaimer: These forms may not be the most recent version. Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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