Get Vwc Form No 3
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How to fill out the VWC Form No 3 online
Filing the VWC Form No 3 accurately is essential for documenting workplace injuries and ensuring compliance with the Virginia Workers’ Compensation Act. This guide provides a clear and supportive approach to completing the form online, making the process simpler for users with varying levels of experience.
Follow the steps to fill out the VWC Form No 3 online
- Click the ‘Get Form’ button to access the VWC Form No 3 and open it in your preferred editing tool.
- Begin by filling in the employer's name in Box 1, along with the Federal Tax Identification Number in Box 2. If you have an Employer’s Case Number, input it in Box 3.
- Provide the mailing address in Box 4, and if applicable, include a different location in Box 5.
- If there is a parent corporation or a Professional Employer Organization (PEO) involved, enter the name in Box 6 and the nature of the business in Box 7.
- Input the insurer’s information in Box 8, including their name and address, and complete Box 9 with the policy number and Box 10 with the policy effective date.
- Record the details of the accident in Boxes 11-19, including the date and time of injury, location, and person to whom the injury was reported.
- For the employee details, fill in Boxes 22-34, providing necessary personal information such as the employee's name, phone number, sex, address, date of birth, marital status, and occupation.
- In Boxes 40-46, describe the nature and cause of the accident, detail the injuries sustained, and provide information about medical treatment received.
- Complete the information regarding the employer and insurer in Boxes 50-58, including signatures, dates, and contact numbers.
- Once you have filled out all sections, review the form for accuracy, then save your changes. You may download, print, or share the completed form as needed.
Start completing the VWC Form No 3 online today to ensure timely processing of your report.
Rule 4.2 of Virginia Workers' Compensation outlines the requirements for an employee to notify their employer of a work-related injury. Prompt reporting is crucial, as any delay may impact your ability to receive benefits. This rule emphasizes transparency and expedience in claiming workers' comp assistance. Completing the Vwc Form No 3 accurately and on time can help you adhere to these requirements.
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